Form 11-92 Federal Employee Payment - Faststart

Download a blank fillable Form 11-92 Federal Employee Payment - Faststart in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 11-92 Federal Employee Payment - Faststart with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

F A S T S T A R T
INSTRUCTIONS FOR PROCESSING FEDERAL EMPLOYEE PAYMENTS
Use: For processing Federal employee net salary, allotments, and other agency - approved payments associated with Federal employment (i.e.
travel reimbursement, uniform allowance, etc). Employee must complete items 1,2,3 and 5. Complete item 4 only if you want to start, cancel
or change the amount of a savings or discretionary allotment - see instructions on back of form.
1. EMPLOYEE INFORMATION
(SSN) EMPLOYEE PAYROLL IDENTIFICATION NUMBER
EMPLOYEE NAME
(as on payroll records)
(Last, First, Initials)
TELEPHONE NUMBER (WORK)
(HOME)
2. TYPE OF ACCOUNT
3. DIRECT DEPOSIT ACCOUNT INFORMATION - NET PAY/TRAVEL/OTHER (Use Sec. 4 for allotments)
A voided personal check/sharedraft may be attached in lieu of completing this section.
Checking
See instructions on back of this form.
Savings
ROUTING TRANSIT
NUMBER
Check Digit
TYPE OF PAYMENT
ACCOUNT NUMBER
Net Pay
Travel
ACCOUNT TITLE ________________________________________________________________
(Account Holder’s Name)
Other Federal
employment related
FINANCIAL INSTITUTION NAME ____________________________________________________
payments
4. ALLOTMENT INFORMATION
Complete this section only if you want to start, cancel or change the amount of a savings or discretionary allotment - see instructions on back of form.
ACTION
AMOUNT
TYPE OF ALLOTMENT
TYPE OF ACCOUNT
(Check One)
(Check One)
(Check One)
(Check One)
INCREASE TO:
START
Savings (whole dollar amounts only)
SAVINGS
CANCEL
DECREASE TO:
Discretionary or Third Party
CHECKING
CHANGE
New Total $____________
ALLOTTEE NAME
(person/company who
will receive allotment)
ALLOTTEE’S ROUTING NUMBER
Check Digit
ALLOTTEE’S ACCOUNT NUMBER
ALLOTTEE’S ACCOUNT TITLE
(Account Holder’s Name)
FINANCIAL INSTITUTION NAME
5. AUTHORIZATION
EMPLOYEE’S SIGNATURE
DATE
6. AGENCY USE:
DEPARTMENT OF THE TREASURY
FMS
2231
F O R M
1 1 - 9 2
FINANCIAL MANAGEMENT SERVICE
EDITION OF 4-90 IS OBSOLETE

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2