Form H1299, Request for Joint Bank Account Information

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Effective Date: 11/2017

Updated: 8/2001

To request information about joint bank accounts from a client who wishes to disprove ownership of all or part of the funds in the account.

Complete Form H1299 when a client wishes to disprove ownership of funds in a joint bank account.

Complete only an original.

Send Form H1299 to the client or responsible party.

Keep Form H1299 in the case record for three years after the case is denied.

Address — Self-explanatory.

Date — Self-explanatory.

Eligibility Worker — Self-explanatory.

Office Address, Telephone Number — Self-explanatory.