Form Internet Direct De Internet Direct De Internet Direct Deposit

Internet Direct Deposit Application, 31 CFR 210

Direct Deposit Screens

Internet Direct Deposit Application, 31 CFR 210

OMB: 0960-0634

Document [pdf]
Download: pdf | pdf
Overview of Pages in Direct Deposit
r 7-

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Screen Name
Start Path

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; l~cknowledgementFor Online Services
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Acknowledgement For Online Services

Page 1 of 1

Social Security Online Services

LM

Acknowledgement For
Onl~neServices

iL..n.+

IMPORTANT: You can use this website to gain access to
your personal information. if you are acting on behalf of
another person, or if you are a Representative Payee,
you cannot use this online service and should contact a
Social Security representative.
Any person who knowingly and willingly makes any
representation
1. that is false to obtain information from Social Security

records, andlor
2. that is intended to deceive the Social Security
Administration as to the true identity of the individual,
could be punished by a fine or imprisonment, or b t h . The
OMB wntroi number for this form is 0960-0632
I have read and agreed to the above statement. I am
the individual whose personal lnformatlon I am
requesting.

You may call us Monday through Friday: 7:00 AM - 7:00
PM at:
1-800-772-1213

If you need Immediate
assistance:

If you are deaf or hard-of-hearing, call our toll-free l l Y
number:
1-800-325-0778

Fi~xsra:~

P

~

P

I W~D~LIS
O
~Pol!&e~B Other Impanant lnlarrnat!on I 5 1 1 e ~ a a

LargerTe~t?

~ e e d

Log In - Enter Your SSN And Password

Social Scx~~iity
Online

Page 1 of 1

Social Security Online Services

-

Log In Enter Your SSN
And Password
Please provide the following information:
Enter your Social Security
number:
Enter numbers without dashes, for
example, 123456789

Enter your password:

About Direct Deposit

Sxial Sn~nity
01llinc.

Page 1 of 2

Start or Change Direct Deposit

www.socialsecur~ty.gov

,
-

I+%
m,,,, .

About Direct Deposit

Social Security provides this web site for your
convenience.
Limitations:

This web site can be used to start or change direct
deposit only for your own Social Security benefits. If
you are a representative payee for another person,
you should contact an SSA representative to start or
change direct deposit for that person.
This web site is not to be used by employees of
financial institutions to establish direct deposit for
their customers.
For security reasons, there are time limits for your
work on each page. You will receive a warning after
25 minutes, and you will be able to extend your time
on the page. After the third warning on a page, you
must move to another page or your time will run out,
and your work on that page will be lost. If you have
turned JavaScript off in your browser, you will not
receive these warnings. After spending 30 minutes
on a page, you must move to another page or you
will be logged out.
Do not use the Back button on your browser to move
backward. Use the Prior Page button instead.
Do not use the Enter key t o move around i n the form.
Use the Continue button instead.
Special Instructions for Blind Users
By using this web site, you agree to accept its limitations.

The Privacy Act Statement

The Social Security Administration is authorized to collect
the information requested on this form, including the
individual claim number, under 31 USC 3322 and 31 CFR
210.The information is confidential and is needed to prove
entitlement to payments. We need this information to
process payment to the financial institution and/or its
agent. Your response to this request is voluntary; however,
not providing the requested information may delay or
prevent receipt of payments through the Direct
Deposit/Electronic Funds Transfer Program.
Although the information you furnish on the form is rarely

About Direct Deposit

Page 2 of 2

used for any other purpose than stated, there is a
possibility that information may be disclosed to another
person or to another governmental agency to comply with
Federal laws requiring the release of information from
Social Security records. For example, we may provide
information in response to a request from a Congressional
ofice or the Office of the President.
We may also use the information you give us when we
match records by computer. Matching programs compare
our records with those of other Federal, State or local
government agencies. Many agencies may use matching
programs to find or prove that a person qualifies for
benefits paid by the Federal government. The law allows
us to do this even if you do not agree to it.
Explanations about these and other reasons why
information you provide us may be used or given out are
available in Social Security Offices. If you want to learn
more about this, contact any Social Security Office.

Paperwork Reduction Act

\

"

L~

This information collection meets the requirements of 44
U.S.C. § 3507,
2 of the Paperwork
Reduction Act
to answer these
questions
of Management
and
that it will

The OMB control number for this Direct Deposit application
is 0960-0634; expiration date 0613012007.

What You Will Need

Social Sccuity Online

Start or Change Direct Deposit

www.socialsecurity.gov

What You Will Need

x*!**~
To start or change direct deposit, you will need to have the
Routing Number which identifies your bank or financial
institution and your Account Number.

Direct Deposit Checklist

2. Ask for the Routing Number
3. Have your statement or
passbook with your Account

Investment account

1. Call your investment

1

[(

2. Ask for the Routing Number
and Account Number for
direct deposit

To protect everyone's privacy, each person who wants to
start or change direct deposit for Social Security benefits
must request it. For example, each spouse will need to
start or change his or her direct deposit separately.

Do you have what you need?

a

o ~ e s No

1 don't know

Welcome

Social SMWity Onliilc

Page 1 of 1

Start Direct Deposit

www.socialsecurity.gov
""""

Welcome, RODNEY I

Our records show that you currently do not have direct
deposit of your Social Security benefits.
Before you start, we need to know whether you live in the
United States, which includes:
one of the 50 states,
the District of Columbia,
Puerto Rico,
the U.S. Virgin Islands,
Guam (no APO or FPO addresses),
the Northern Manana Islands, or
American Samoa.

Do you live in the United
States?
Are you listed as an owner or
co-owner of the account
where you want to deposit
your check? Examples of
account-ow-nership

O ~ e sC ~ N O
ayes

0No C:l don't know

About Your Account

Social Senility Oilline

Start Direct Deposit

www.socialsecurity,gov

About Your Account
n

Please select the type of
account where you want your
direct deposit to go.

Checking account (including money

market and credit union "share draft"
accounts)

C3 Savings account
An account at an investment
company or broker

::(

,-,

'-., Other

Your Checking Account

Social Sau~ity
Online

Start Direct Deposit

www.socialsecurity.gov

8 3 Your Checking Account
%i@r+a

Look at a check, not a deposit slip, from your account to
find your Bank's Routing Number and your Account
Number. Then type them in the spaces below.

Routing Number (9 digits)

Account Number

Important: If your account is at a credit union, investment
company, or a small bank, look below your bank's name
on the check. If it says "Payable through" and shows the
name of another bank, it means your bank processes
checks through a different bank. You will need to contact
your bank and ask for the correct Routing Number to use
for direct deoosit.

Your Savings Account

Social Security O~ilinc

Page 1 of 1

Start Direct Deposit

www.socialsecurity.gov

Your Savings Account
hl%

To identify your savings account, you will need to enter the
Routing Number, which identifies your bank or financial
institution, and your Account Number.
The Routing Number is not usually shown on your
passbook or account statement. If you do not have this
information, you should call your bank or financial
institution to get it.

Routing Number (9 digits)
Account Number

Your Investment Account

Social Scx111ityOnlinc

Page 1 of 1

Start Direct Deposit

www.socialsecur~ty.gov

Your Investment Account
When Social Security sends a direct deposit to an
investment account, it goes into a special account that the
investment company has set up for this purpose.
You will need to contact your
investment company to:

-

Routing Number (9 digits)
Account Number

Get the correct Routing Number for this special
account. Ask if this account is held in another
institution. If so, you will see this other name when
we confirm your direct deposit information.
Verify the Account Number to use. (It may be
different than the number shown on your investment
account statement.)

When Will This Start?

Social ,%~ility 01lline

Page 1 of 1

Start Direct Deposit

www.socialsecurity.gov

When Will This Start?
Let us know how soon you want your direct deposit to
start.

Important

When do you want this to take
effect?

,-,
.-/ As Soon As Possible

(Note: it may
not take effect before your next
payment.)

C, Wait until my payment in December
2006

Wait until my payment in January
2007

Verify Your Information

Social ScculityOnline

Start Direct Deposit

www.socialsecurity.gov

f
aVerify Your Information
You requested we start your direct deposit to this account:
Bank name:
Routing number:
Account number:
Account type:
To take effect:

SECURITYPLUS FEDERAL
CREDIT UNION
252076714
0987654321
Savings Account
November 2006

If this information is correct, tell us to complete your
request by selecting "Confirm."

If this information is NOT correct, you can change it
now.

Confirmation

Social &miity 01ili11c

Start Direct Deposit

www.socialsecurity,gov

Thank you. We received your request to start your direct
deposit. This is your online confirmation. You will also get
a confirmation letter from Social Security shortly before the
first payment goes to your new account.
You requested to start direct deposit to:
Bank name:
Routing number:
Account number:
Account type:
To take effect:

SECURITYPLUS FEDERAL
CREDIT UNION
252076714
0987654321
Savings Account
November 2006

If you have a spouse who also needs to start or change
direct deposit, you will have to log out and your spouse will
have to do this for him or herself.
We suggest you print this page for your records.

Page 1 of 3

Direct Deposit Survey 1

Social Sccuiity Orllinc

Start or Change Direct Deposit

www.socialsecurity.gov

Direct Deposit Survey
We'd like to know what you think of our online "Start or
Change Direct Deposit" service. Please take a minute to
read our survey below and answer all the questions that
apply. If you prefer, you can skip this survey and continue
on to other tasks.

c
Was it easy to find the "Start
or Change Direct Deposit"
service?

oYes~2No

Was it easy to understand
what information you needed
to provide?

O ~ e s NO

Were the instructions easy to
understand?

C; Yes

No

Yes

(3No

Did we tell you everything you
needed to know about your
direct deposit request?
Overall, did you think it was
easy to complete your request
for direct deposit?
Would you do business with
us online again based on your
experience today?
Feedback

Q

Skip Survey and Continue

eyesoNo
0Yes 0No

If you answered "no" to any of these
questions and need to tell us more,
please enter your feedback and share
your thoughts.
Thank you for responding!

Privacy Act
http:Neis.ba.ssa.gov/appages/idd/ddO14.html

1/4/2007

Page 2 of 3

Direct Deposit Survey 1

The Privacy Act requires us to notify
you that we are authorized to collect
this information by section 702 of the
Social Security Act. You do not have to
provide the iniormation requested.
However, the data vou ~rovidewill
allow thesocial security Administration
to improve our web site design and
better serve you in the future. This
survey is completely anonymous.
Paperwork Reduction Act
clearance requirement
3507,as amended by

number. We estim

estimate tp this address, not the
completed form.
e.N~ces
( Feedback I Navlaatlon

I SSA Home Paae

Page 1 of 3

Direct Deposit Survey 2

Social Stx~~litOllline
y

Start or Change Direct Deposit

www.socialsecurity.gov

w

/""h About Direct Deposit

"a,,,,*$

We're sorry you decided not to complete your online
request using our "Start or Change Direct Deposit" service
today. We'd like to understand why so we can improve this
service in the future. Please take a minute to read our
survey below and answer all the questions that apply. If
you prefer, you can skip this survey and continue on to
other tasks.

L

I-[

S~IP
survey and ~ o n t ~ n u e

Did you decide not to finish your request today because:
You didn't have the
information you needed to
complete your request?
The questions were hard to fill
out?

O ~ e sONO

cYes(2No

The instructions or questions
were not clear?

0Yes 0No

It was taking too long to
complete the request?

C)Yes ONO

Do you still plan to start or
change direct deposit of your
benefits?

0NO
O ~ e susing
,
the online service
ayes, but not online

Feedback

If you answered "no" to any of these
questions and need to tell us more,
please enter your feedback and share
your thoughts.
Thank you for responding!

Privacy Act

The Privacy Act requires us to notify

http://eis.ba.ssa.gov/appages/idd~dd015.html

J

Direct Deposit Survey 2

Page 2 of 3

you that we are authorized to collect
this information by section 702 of the
Social Security Act. You do not have to
provide the information requested.
However, the data you provide will
allow the Social Security Administration
to improve our web site design and
better serve you in the future. This
survey is completely anonymous.

Paperwork Reduction Act

This information collection

Management and

address, not the

The OMB control number for this Direct
Deposit application is 0960-0634;
expiration date 06/30/2007.

Additional Information

If you need additional information, we
can help you.

.

You can call us at 1-800-7721213, Monday through Friday
between 7 a.m. and 5 p.m. EST.
You can visit your local Social
Security Office. You can get
directions and a map to your local
Social Security Office by visiting
the Field Office Locator.
If you are outside of the United
States, contact your nearest
Social Security office, U.S.
Embassy or consulate, or the
Veterans Affairs Reaional Office
(VARO) in the Philippines.
Online Services

http:Neis.ba.ssa.gov/appages/idd~ddO15.html

I SSA Home Paqe I Feedback I Naviqation

1/4/2007

Direct Deposit Survey 2

Page 3 of 3

Change Path Screens

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:About Your Account

Verify Your Information
.!..iconfirmation
,
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. ---.
i IDirect Deposit Survev 1
/Direct Deposit Survey 2
.--- --7---[:NO~
Llving in the United States
....
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Acknowledgement For Online Services

Social Security Online Services
r
a
' Acknowledgement

\gve'Online Services

For

Any person who knowingly and willingly makes any
representation

1. that is false to obtain information from Social Security
records, and/or
2. that is intended to deceive the Social Security
Administration as to the true identity of the individual,
could be punished by a fine or imprisonment, or both. The
OMB control number for this form is 0960-0632,

I have read and agreed to the above statement. I am
the individual whose personal information I am
requesting.

If you need immediate
assistance:

You may call us Monday through Friday: 7:00 AM - 7:00
PM at:
1-800-772-1213
If you are deaf or hard-of-hearing, call our toll-free T Y
number:
1-800-325-0778

.~RSTC;CN

Privacv Policv I Website Policies 8 Other ImDortanl information I Site Ma[,

Need

Larqer Text?

Log In - Enter Your SSN And Password

Social Scc~nityOnline

.

Page 1 of 1

Social Security Online Services

www.socialsecurity.gov

-

Log In Enter Your SSN
And Password
Please provide the following information:
Enter your Social Security
number:
Enter numbers without dashes, for
example, 123456789
Enter your password:

About Direct Deposit

Social Sccu~ityOullinc.

Page 1 of 2

Start or Change Direct Deposit

www.socialsecurity.gov

About Direct Deposit
Social Security provides this web site for your
convenience.

Limitations:

This web site can be used to start or change direct
deposit only for your own Social Security benefits. If
you are a representative payee for another person,
you should contact an SSA representative to start or
change direct deposit for that person.
This web site is not to be used by employees of
financial institutions to establish direct deposit for
their customers.
For security reasons, there are time limits for your
work on each page. You will receive a warning after
25 minutes, and you will be able to extend your time
on the page. After the third warning on a page, you
must move to another page or your time will run out,
and your work on that page will be lost. If you have
turned JavaScript off in your browser, you will not
receive these warnings. After spending 30 minutes
on a page, you must move to another page or you
will be logged out.

Do not use the Back button on your browser to move
backward. Use the Prior Page button instead.
Do not use the Enter key to move around in the form.
Use the Continue button instead.
a e c i a l Instructions for Blind Users
By using this web site, you agree to accept its limitations.

The Privacy Act Statement

The Social Security Administration is authorized to collect
the information requested on this form, including the
individual claim number, under 31 USC 3322 and 31 CFR
210.The information is confidential and is needed to prove
entitlement to payments. We need this information to
process payment to the financial institution andlor its
agent. Your response to this request is voluntary; however,
not providing the requested information may delay or
prevent receipt of payments through the Direct
DepositIElectronic Funds Transfer Program.
Although the information you furnish on the form is rarely

About Direct Deposit

Page 2 of 2

used for any other purpose than stated, there is a
possibility that information may be disclosed to another
person or to another governmental agency to comply with
Federal laws requiring the release of information from
Social Security records. For example, we may provide
information in response to a request from a Congressional
office or the Office of the President.
We may also use the information you give us when we
match records by computer. Matching programs compare
our records with those of other Federal, State or local
government agencies. Many agencies may use matching
programs to find or prove that a person qualifies for
benefits paid by the Federal government. The law allows
us to do this even if you do not agree to it.
Explanations about these and other reasons why
information you provide us may be used or given out are
available in Social Security Offices. If you want to learn
ocial Security Office.

Paperwork Reduction Act

h

the requirements of 44
2 of the Papetwork
to answer these
of Management
that it will

The OMB control number for this Direct Deposit application
is 0960-0634; expiration date 06/30/2007.

What You Will Need

Social Sccu~ity
Online

Page 1 of 1

Start or Change Direct Deposit

www.socialsecurity.gov

,"
What
aYou Will Need
kng,e'
To start or change direct deposit, you will need to have the
Routing Number which identifies your bank or financial
institution and your Account Number.
Direct Deposit Checklist
startinglchanging

Savings account

1. Call your bank or credit

2. Ask for the Routing Number
3. Have your statement or
passbook with your Account

2. Ask for the Routing Number
and Account Number for

To protect everyone's privacy, each person who wants to
start or change direct deposit for Social Security benefits
must request it. For example, each spouse will need to
start or change his or her direct deposit separately.
Do you have what you need?

O ~ e sO NO

1 don't know

Welcome

Page 1 of 1

Social SccxiityOnlinc

Change Direct Deposit

www.socialsecurity.gov

Welcome, HARRY
RICHARDSON
Our records show that you already have direct deposit of
your Social Security benefits to:
Your current bank name: MEMBERS 1ST CREDIT UNION
The bank's routing number: 321174806
Last 4 digits of your current account: 8001
Before you start, we need to know whether you live in the
United States, which includes:
one of the 50 states,
the District of Columbia,
Puerto Rico,
the U.S. Virgin Islands,
Guam (no APO or FPO addresses),
the Northern Mariana Islands, or
American Samoa.
-

Do you live in the United
States?
Are you listed as an owner or
co-owner of the account
where you want to deposit
your check? Examples of
account ownership
-

G ~ e s0NO

ONO

1 don't know

Page 1 of 1

About Your Account

Social Saul-ityOn1ine

Change Direct Deposit

www.socialsecurity.gov

About Your Account

Please select the type of
account where you want your
direct deposit to go.

O Checking account (including money
market and credit union "share draft"
accounts)

C) Savings account
An account at an investment
company or broker
Other

Your Checking Account

Stx.ial&~.~~iity
O~llirlc

Change Direct Deposit

www.socialsecur~ty.gov

Your Checking Account
-%
.*1,, P B c

Look at a check, not a deposit slip, from your account to
find your Bank's Routing Number and your Account
Number. Then type them in the spaces below.

Routing Number (9 digits)

Account Number

Important: If your account is at a credit union, investment
company, or a small bank, look below your bank's name
on the check. If it says "Payable through" and shows the
name of another bank, it means your bank processes
checks through a different bank. You will need to contact
your bank and ask for the correct Routing Number to use
for direct deposit.

Page 1 of 1

Your Savings Account

Social Scvi~ityOllli~le

Change Direct Deposit

www soc~alsecur~ty
gov

,b".

Your Savings Account

To identify your savings account, you will need to enter the
Routing Number, which identifies your bank or financial
institution, and your Account Number.
The Routing Number is not usually shown on your
passbook or account statement. If you do not have this
information, you should call your bank or financial
institution to get it.

Routing Number (9 digits)
Account Number

Your Investment Account

Social StuulityOnline

Page 1 of 1

Change Direct Deposit

www.socialsecurity.gov

Your Investment Account
When Social Security sends a direct deposit to an
investment account, it goes into a special account that the
investment company has set up for this purpose.

You will need to contact your
investment company to:

Routing Number (9 digits)
Account Number

.

Get the correct Routing Number for this special
account. Ask if this account is held in another
institution. If so, you will see this other name when
we confirm your direct deposit information.
Verify the Account Number to use. (It may be
different than the number shown on your investment
account statement.)

When Will This Start?

Social Scxnity Onlinc

Change Direct Deposit

www.social~e~~rity.g~v
uw

When Will This Challge
%,@$ Happen?
Let us know how soon you want this change to take effect.

Important
Do not close your old account until the first payment
comes to your new account.
Be sure that the first payment has been direct
deposited in your new account before you begin
withdrawing funds from the account.
Your normal payment date will remain the same.

When do you want this to take
effect?

C) As Soon As Possible

(Note: it may
not take effect before your next
payment.)
Wait until my payment in December
2006
Wait until my payment in January
2007

Page 1 of 1

Verify Your Information

k i a l Secuiity Oilline

Change Direct Deposit

www.socialsecurity.gov

Verify Your Information
You requested we change your direct deposit to this
account:
Bank name:
Routing number:
Account number:
Account type:
To take effect:

SECURITYPLUS FEDERAL
CREDIT UNION
252076714
0987654321
Savings Account
November 2006

If this information is correct, tell us to complete your
request by selecting "Confirm."

If this information is NOT correct, you can change it
now.

L

Change Account Information

1[

Change Date

]

Confirmation

Social Sccmity Online

Page 1 of 1

Change Direct Deposit

www socialsecurity.gov

Thank you. We received your request to change your
direct deposit. This is your online confirmation. You will
also get a confirmation letter from Social Security shortly
before the first payment goes to your new account.
You requested a change of direct deposit to:
Bank name:
Routing number:
Account number:
Account type:
To take effect:

SECURITYPLUS FEDERAL
CREDIT UNION
252076714
0987654321
Savings Account
November 2006

If you have a spouse who also needs to start or change
direct deposit, you will have to log out and your spouse will
have to do this for him or herself.
We suggest you print this page for your records.

L

Direct Deposit Survey 1

Page 1 of 3

Social Snulity Online

Start or Change Direct Deposit

www.socialsecurity.gov

f " ' 4 Direct Deposit Survey
"a,,.*

W?

We'd like to know what you think of our online "Start or
Change Direct Deposit" service. Please take a minute to
read our survey below and answer all the questions that
apply. If you prefer, you can skip this survey and continue
on to other tasks.

Was it easy to find the "Start
or Change Direct Deposit"
sewice?
Was it easy to understand
what information you needed
to provide?
Were the instructions easy to
understand?

9yes (3 No

( I y e s ONo

ON^

O ~ e s

Did we tell you everything you n
needed to know about your
direct deposit request?
Overall, did you think it was
easy to complete your request
for direct deposit?
Would you do business with
us online again based on your
experience today?
Feedback

ONO

oYes0No
Yes

0No

If you answered "no" to any of these
questions and need to tell us more,
please enter your feedback and share
your thoughts.
Thank you for responding!

Privacy Act

Direct Deposit Survey 1

Page 2 of 3
The Privacy Act requires us to notify
you that we are authorized to collect
this information by section 702 of the
Social Security Act. You do not have to
provide the information requested.
However, the data you provide will
allow the Social Security Administration
to improve our web site design and
better serve you in the future. This
survey is completely anonymous.

Paperwork Reduction Act

This information collection
clearance requirements o

estimate above

The OMB control number for this Direct
Deposit application is 0960-0634;
expiration date 06130/2007.
Additional Information

If you need additional information, we
can help you.

You can call us at 1-800-7721213, Monday through Friday
between 7 a.m. and 5 p.m. EST.
You can visit your local Social
Security Office. You can get
directions and a map to your local
Social Security Office by visiting
the Field Office Locator.
If you are outside of the United
States, contact your nearest
Social Security office, U.S.
Embassv or consulate, or the
Veterans Affairs Reqional Office
NARO) in the Phili~pines.

Page 3 of 3

Direct Deposit Survey 1
1 Feedback 1 Naviaation

Online Sewices ( S S A o P a q e

Direct Deposit Survey 2

Social Seculity 01llinc

Start or Change Direct Deposit

www.socialsecurity.gov

About Direct Deposit
We're sony you decided not to complete your online
request using our "Start or Change Direct Deposit" service
today. We'd like to understand why so we can improve this
service in the future. Please take a minute to read our
survey below and answer all the questions that apply. If
you prefer, you can skip this survey and continue on to
other tasks.

t.

Skip Survey and Continue

Did you decide not to finish your request today because:
You didn't have the
information you needed to
complete your request?

O ~ e sc

~

o

The questions were hard to fill
out?

0Yes

The instructions or questions
were not clear?

ayesuNo

It was taking too long to
complete the request?

OYes @No

Do you still plan to start or
change direct deposit of your
benefits?

@NO

ON0
OYes, using the online service
OYes, but not online

Feedback

If you answered "no" to any of these

questions and need to tell us more,
please enter your feedback and share
your thoughts.
Thank you for responding!

Privacy Act

The Privacy Act requires us to notify

http:Neis.ba.ssa.gov/appages/iddldd0l5 C.html

3

Direct Deposit Survey 2

Page 2 of 3
you that we are authorized to collect
this information by section 702 of the
Social Security Act. You do not have to
provide the information requested.
However, the data you provide will
allow the Social Security Administration
to improve our web site design and
better serve you in the future. 'This
survey is completely anonymous.

Paperwork Reduction Act

235-6401. Send &

The OMB control number for this Direct
Deposit application is 0960-0634;
expiration date 06/30/2007.
Additional Information

If you need additional information, we
can help you.
You can call us at 1-800-7721213, Monday through Friday
between 7 a.m. and 5 p.m. EST.
You can visit your local Social
Security Office. You can get
directions and a map to your local
Social Security Office by visiting
the Field Office Locator.
If you are outside of the United
States, contact your nearest
Social Security office, U.S.
Embassv or consulate, or the
Veterans Affairs Regional Office
{VARO) in the P h i l i ~ ~ i n e s .
Online Services

http://eis.ba.ssa.gov/appages/idd/dd015C.html

I SSA Home Pacle I Feedback I Naviqation

Direct Deposit Survey 2

Page 3 of 3

Page 1 of 1

Not Living in the United States

Social Secuiity Onliue

Change Direct Deposit

www.socialsecurity.gov

w

Not Living in the United
'8,,,,,J States
We're sorry you cannot change your direct deposit online.
You must call or visit us to change your record.
You can contact
your nearest Social Security office,
the closest U.S. Embassy or consulate, or
the Veterans Affairs Regional Office (VARO) in the
Philippines.

p
J

Special Instructions for People Who Are Blind

Social S x ~ n i t Online
y

Start or Change Direct Deposit
i
e

\@kf

Special Instructions for
People Who Are Blind

The following instructions are for screen reader users like
JAWS and Window-Eyes and browser based readers like
Home Page Reader. Filling out this application is best
accomplished in a Forms or MSAA mode that allows the
user to tab to controls and fill-in input boxes, radio buttons,
check boxes, andlor list boxes. Instructional text usually
occurs at the beginning of these screens and can be
accessed in non-MSAA or virtual-cursor mode. Tab indices
have also been added to allow for tabbing through text.
Additionally, consistent headers have been set up to
access questions and examples/instructions more easily.
All headers that are level 3 will have additional help text.
The titles of each page are header level 1 and they will
have general help information. Questions that have
additional help or instructional text will be indicated by the
screen reader. The user can then tab to the additional help
or continue tabbing to the next question to bypass this
help.
Unless you have turned Javascript off in your browser, you
will receive a warning afler 25 minutes and you can extend
your time on the page. Afler the third warning, you must
move to another page, or your time will run out and your
work on that page will be lost.
On many screens there is a continue button at the end of
the screen to allow the user to go to the next page, a prior
page button to return to the previous page, and an exit
button to exit the application. The hotkey ALT + C is
associated with the "Continue" button, ALT + P w l h the
"Prior Page" button, and ALT + X with the "Exit" button. In
Internet Explorer, you must press Enter to execute the
command of the hotkeys. However, in Netscape the
hotkeys execute the command without the need for an
additional Enter key.
Keyboard commands, hotkeys, or access keys will vary
based upon the browser and the version of that browser
you are using. A list of these commands can be found in
the "Help" section of your browser. The "Help" feature can
be located on the Menu bar of your browser or by using
the F1 function key on the keyboard. Any assistive devices

Special Instructions for People Who Are Blind

Page 2 of 2

that you may be using will also have a list of these shortcut
keys in the "Help" section. Also, see our Keyboard
Commands
.... web page.
When pages are submitted that have errors, a new page
will be displayed that has a list of links at the top of the
page indicating each error. Selecting the link will place
focus at the specific error control. Fixing the error will not
be reflected in the list of links or error messages at the field
until the page is re-submitted. To navigate to the next
error, the user can invoke the screen reader or screen
magnifier's links list or simply tab through the fields and
listen to the screen reader to hear when there is an error
message.
Close this window to return to the application.

Your Session Has Expired

Social Secu~ityOnline

Start or Change Direct Deposit

www.socialsecurity.gov

,F.
,
&Your Session Has Expired
@kt,

%*Fed
For your security, your session has timed out due to
inactivity.

We Cannot Process Your Request at This Time

Social SMVlity Online

Page 1 of 1

Change Direct Deposit
We Cannot Process Your
B Request at This Time
We are sorry for the inconvenience but we cannot process
your request at this time. If you wish to make your request,
you may try again later.
If you need additional information, you may call us at 1800-772-1213 Monday through Friday between 7 a.m. and
5 p.m. EST.

r

Return to Online Services

1

Page 1 of I

This Senice Is Not Available at This Time

~ o c i dSexuiityOnline

Change Direct Deposit

w

This Service Is Not
%%,,%$ Available at This Time
,.""'"%
'

This service is available during the following hours
(Eastem Time):
Monday through Friday: 5:00 AM - 1.00 AM
Saturday: 5:00 AM - 11:OO PM
Sunday: 8:00 AM 10:OO PM
Holidays: 500 AM - 11:00 PM

-

Page 1 of 1

We Are Processing Your Request...

Social Scruiity ~ n l i n c

Change Direct Deposit
&"'

"k"

,pa& We Are Processing Your

Request...

Please wait a moment before selecting the Continue
button.

Page 1 of 1

Change Account Information

Social ScLxiity Online

Start Direct Deposit

www.socialsecurity.gov

Change Account
Information
You chose to change your account information.
If you choose "Yes, Change", all your existing account
information will be deleted and you will have to enter it
again.
If you choose "No, Don't Change", your current account
information will remain and you can continue to verify the
information.

Change Account Information

Social Wity Online

Change Direct Deposit

www.socialsecurity.gov

-9

Change Account
Information

\,YF4'

You chose to change your account information.
If you choose "Yes, Change", all your existing account
information will be deleted and you will have to enter it
again.
If you choose "No, Don't Change", your current account
information will remain and you can continue to verify the
information.

Warning: System Will Shut Down

Social Secu~ityOnline

Change Direct Deposit
Ps"'%
This Direct Deposit
TB,,

Application is scheduled to
shut down for the day
within a half-hour.

The Direct Deposit Application is available during the
following hours (Eastern Time):
Monday through Friday: 5:00 AM - 1:00 AM
Saturday: 5:00 AM 11:OO PM
Sunday: 8:00 AM - 10:OO PM
Holidays: 5:00 AM - 11:OO PM

-

If you choose Continue to start the report now and the
system shuts down before you finish it, you will lose your
information.

You may want to consider starting the report at another
time to avoid losing any information. If you decide to start
this application later, you may return to your Credential
Service Provider website where you began, or you may
visit www.first.clov or ~ . s o c i a l s e c u r i t y . ~ o v .
"Exit" will take you out of the application.

Not Sure

Social Scwity Online

Page 1 of 1

Change Direct Deposit

www.socialsecurity.gov

:
a
Not Sure
\>FPP
It's important to be sure that you are an owner of the
account. This is for your protection. If you are not an owner
of the account, you would not have legal access to your
benefits once they were deposited.
If you have a check or statement in front of you, please
look carefully at the names shown on the account where
you want your benefits to be deposited. The account title
can be found printed on your check or at the top of your
account statement.
Examples to help you
determine if you are listed as
an owner or co-owner of the
account:

Both John and his wife, Mary, are owners or co-owner5
of these accounts:
John Q. Public
Mary Public
John and Mary Public
Mary or John Public
Mr. and Mrs. John Public
Only John but not Jim is an owner of these accounts:

.
..
..

John Q. Public
Jim Public for John Public
John Q. Public by Jim Public, trustee
John Q. Public by Jim Public, Guardian

If necessary, please contact your bank or financial
institution to verify that you are an owner of the account
before you continue.

Not Owner of the Account

Social Scrulity 011linc

Change Direct Deposit

www.socialsecurity.gov

Not Owner of the Account
Sony, but we cannot deposit your benefits into an account
for which you are not an owner. This is for your protection.
If you are not an owner of the account, you would not have
legal access to your benefits once they were deposited.
If you have a check or statement in front of you, please
look carefully at the names shown on the account where
you want your benefits to be deposited. The account title
can be found printed on your check or at the top of your
account statement.
Examples to help you
determine if you are listed as
an owner or co-owner of the
account:

Both John and his wife, Mary, are owners or co-owners
of these accounts:
John Q. Public
Mary Public
John and Mary Public
Mary or John Public
Mr. and Mrs. John Public
Only John but not Jim is an owner of these accounts:

..
.

John Q. Public
Jim Public for John Public
John Q. Public by Jim Public, trustee
John Q. Public by Jim Public, Guardian

If you have questions about this or any other direct deposit
issue, please call Social Security's toll-free number, 1-800772-1213, Monday through Friday between 7 a.m. and 5
p.m. EST, or visit your local Social Security office.

Page 1 of 1

Other Accounts

Social Sccui-ityOnline

Change Direct Deposit

www.socialsecurity.gov
.p'4%

spat&

Other Accounts

z.;!*\
Direct deposit payments normally go into a checking,
savings, or investment account. If you have another type of
account, it cannot be processed at this web site. Please
contact Social Security at 1-800-772-1213.
Social Security is not able to direct deposit in any of the
following types of accounts:
commercial or business accounts,
certificates of deposit (CD),
credit card accounts,
loan accounts,
mortgage accounts, or
any other account from which you cannot withdraw
funds.

Your New Checking Account Information

Page 1 of 1

Change Direct Deposit

iw
,Z"'y""-

Your New Checking
Account lnformatlon

The check sample has a series of numbers in the lower left
hand corner. On your check,
the first nine digits of the number would be your 9digit bank Routing Number,
your account number would be the middle set of
digits, and
the last set of digits is the check number. (The check
number may appear before the account number.)
Close this window to return to the application.

Examples of Account Ownership

Social Secui-ityOnlinc

Page 1 of 1

Change Direct Deposit

www.socialsecurity.gov

Examples of Account
r8,,*p Ownership
,;'"*"'O.

%R

If you have a check or statement in front of you, please
look carefully at the names shown on the account where
you want your benefits to be deposited. The account title
can be found printed on your check or at the top of your
account statement.

Examples to help you
determine if you are listed as
an owner or co-owner of the
account:

Both John and his wife, Mary, are owners or co-owners
of these accounts:

1

I

John Q. Public
Mary Public
John and Mary Public
Maw or John Public
Mr. and Mrs. John Public
Only John but not Jim is an owner of these accounts:
John Q. Public
Jim Public for John Public
John Q. Public by Jim Public, trustee
John Q. Public by Jim Public, Guardian
Close this window to return to the application.

Page 1 of 1

We Cannot Process Your Request

Social Seclllity Online

Change Direct Deposit

www socialsecurity.gov

feq'\ We Cannot Process Your

% Request

,

We are sorry for the inconvenience but we cannot process
your request.
If you need additional information, you may call us at 1800-772-1213 Monday through Friday between 7 a.m. and
5 p.m. EST.

Additional Information

Social SeLwityOnli~le

Start or Change Direct Deposit
Additional Information

You will need to contact your
financial institution to ask for:

Their Routing Number
Your Account Number

For Savings accounts:

The Routing Number is not usually shown on your
passbook or account statement.

For Investment accounts:

.

Direct deposits typically go into a special account
that the investment company has set up for this
purpose. Therefore, the account number may be
different than the number shown on your investment
account statement.


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File Modified2007-03-06
File Created2007-03-06

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