Direct Deposit Request Form Instructions and Info
This file provides details for completing the Direct Deposit Request Form. It includes general information, instructions, and guidelines on how to fill out the form for direct deposit requests. Essential for any payee who wishes to utilize direct deposit services.
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How do I fill this out?
To fill out the Direct Deposit Request Form, begin by gathering all necessary information. Ensure that you complete each required field accurately and legibly. After filling out the form, sign it as the payee or legal representative before submission.

How to fill out the Direct Deposit Request Form Instructions and Info?
1
Collect all necessary information including financial details.
2
Fill in the required fields using black ink only.
3
Review the information to ensure accuracy.
4
Sign the form where indicated.
5
Submit the completed form via email, fax, or mail.
Who needs the Direct Deposit Request Form Instructions and Info?
1
Payees of annuities requiring direct deposit.
2
Legal representatives of payees managing funds.
3
Individuals needing to update their direct deposit information.
4
Joint annuitants requesting shared deposits.
5
Estate managers facilitating payments for a deceased person's annuity.
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What are the instructions for submitting this form?
To submit this form, email it to ssrequest@corebridgefinancial.com or fax it to (806) 349-5802. You can also mail the completed form to AGL-USL, Attn: Structured Settlements Department, P.O. Box 15367, Amarillo, TX 79105-5367. Ensure that the form is signed by the required parties before submission.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 include any deadlines set for direct deposit requests tied to specific payment schedules and processing times. Please keep an eye on your payment schedule to ensure timely submissions. It's recommended to submit requests well in advance of any expected payment.

What is the purpose of this form?
The purpose of the Direct Deposit Request Form is to facilitate the secure and efficient deposit of funds into the accounts of payees. It allows individuals and their legal representatives to authorize payments to be made directly to their financial institutions. This form is crucial for ensuring that payments are received promptly and without issues.

Tell me about this form and its components and fields line-by-line.

- 1. Annuitant Name: The full name of the annuitant or legal payee.
- 2. Annuitant SSN: The Social Security Number of the annuitant.
- 3. Phone Number: Contact number for the annuitant.
- 4. Email Address: Email address for correspondence.
- 5. Joint Annuitant Name: Name of a joint annuitant if applicable.
- 6. Joint Annuitant SSN: SSN for the joint annuitant.
- 7. Transit Routing Number: The routing number of the financial institution.
- 8. Account Number: The account number to which the funds will be deposited.
- 9. Signature of Payee: Signature line for the payee or legal representative.
What happens if I fail to submit this form?
Failure to submit this form can result in delays in receiving expected payments. Without proper authorization through this form, funds may not be directed to the correct account. It is crucial to complete and submit this form to avoid interruptions in payment.
- Payment Delays: Any delays in submission can cause disruption in timely payments.
- Wrong Account Deposits: Without the correct information, payments may go to an incorrect account.
- Processing Issues: Unsubmitted forms may lead to issues in processing payments.
How do I know when to use this form?

- 1. New Direct Deposit Setup: When a new payee is ready to set up direct deposit.
- 2. Updating Financial Information: Any changes to bank account details require this form.
- 3. Changing Joint Payee Information: If there are changes in the joint annuitant details.
Frequently Asked Questions
How do I fill out the Direct Deposit Request Form?
Begin by gathering all required information, then complete each section of the form accurately.
Where can I submit this form?
You can submit the form via email, fax, or traditional mail as indicated on the document.
Can I edit the PDF before submitting?
Yes, you can make edits to the PDF using the PrintFriendly tool before finalizing your submission.
What if I need assistance with the form?
If you have questions while filling out the form, feel free to contact customer support.
Are there any specific requirements for signing?
Yes, the form must be signed by the payee or their legal representative.
What happens if I make a mistake on the form?
You may edit the form on PrintFriendly to correct any errors before submitting it.
Is there a deadline for submitting this form?
However, be mindful of the processing times which may take up to 30 days.
Can any legal representative sign the form?
Only the designated legal representative for the payee can sign if they are not the payee.
How can I ensure my changes are saved?
You can download your edited PDF after making changes, ensuring you always have the latest version.
What should I do if I don't receive my payments?
If your payments do not arrive as expected, please reach out to customer support for assistance.
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