How to Complete This Form. This form is fillable.In signing this form, I authorize my NYS salary payment to be sent to the designated financial institution(s) to be deposited into the specified account(s), and. For Direct Deposit please attach a voided check or savings account statement showing your account number. The purpose of this task is to record an employee's direct deposit information in the Payroll System. This will enable the employee's net pay to be deposited. A Direct Deposit SignUp Form (FS Form 1199A) is available in Chapter 9, Forms. How to Complete the FS Form 1199A. To sign up for direct deposit: Fill out the Direct Deposit Application Form and mail it to the address found on the top left hand corner of the application.