SSA-1199-JA, Direct Deposit Sign Up Form, Japan

What is the SSA-1199-JA Form?

The SSA-1199-JA, better known as the Direct Deposit Sign-up Form Japan, is a special version of the SSA's standard direct deposit sign-up form structured for those residing in Japan. This form is essential for every U.S. social security benefit recipient in Japan who would like their payments directly deposited into a bank account. Utilizing this method allows for faster access to your benefits and eliminates the need for handling paper checks. All social security forms, including this one, are conveniently accessible on PDFliner.

Advantages of using PDFliner for SSA-1199-JA form

Completing the SSA-1199-JA Direct Deposit Sign-up Form on PDFliner is an excellent idea for several reasons. Not only does the platform offer a seamless and effortless filling-out process, but it also saves time. Forget the worry of manually handling paper forms. With PDFliner, you can complete forms accurately and submit them on time without leaving your home or office. The platform also allows you to save, share, and edit your forms whenever necessary.

How to Fill Out SSA-1199-JA Form

Here is a detailed guide on how to fill out the SSA-1199-JA, direct deposit sign up form, japan form template:

1. Enter your full name and complete mailing address in the corresponding fields under 'Name and Complete Mailing Address' in Section 1. Ensure all entries are in Roman letters.

2. Provide your daytime telephone number in the field labeled 'Telephone Number'.

3. Fill in your Social Security Claim Number in the designated area.

4. If applicable, specify the Name of Person Entitled to the Benefits, which should also be in Roman letters.

5. In the 'This box is for allotment of payment only' section, if applicable, specify the type and amount of payment.

6. Under the 'Payee Certification', sign the form to authorize the Social Security Administration to send payments to the financial institution indicated in Section 3 and deposit them into the designated account.

7. If you are not the Beneficiary, indicate whether you are the Representative Payee by selecting 'Yes' or 'No'.

8. Enter the Beneficiary's Date of Birth in the provided space.

9. In Section 3, provide the name of your bank, bank phone number, and address of the bank all in Roman letters.

10. Fill out the bank account information, including the Bank Code (4 digits), Branch Number (3 digits), and Account Number. These should match the details in your bank book or account statement.

11. Have your bank certify the account as indicated in Section 3. A bank official should fill in their name and sign in the designated areas.

12. Check whether your account is a Yen Checking or Yen Savings account and indicate the correct type in the form.

13. Mail the completed form to the address provided on the form: Federal Benefits Unit, U.S. Embassy, 1-10-5 Akasaka, Minato-ku, Tokyo 107-8420, Japan.