Accounts Payable AP01
Wire Transfer Request Form
Purpose of Form: This form may be used by anyone on campus, except for students, to send a payment to a
vendor. This form is not for student payments. Students use Student Wire Request Form AR11.
All information requested is mandatory. Delays may occur if any pertinent information is missing.
Payee Information
Banking Information
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Payee Name ________________________________________________________________________________
____________ _____________________
Payee Address __________________________________
Date _______________ Amount ______________ Currency _____________
Purpose of Wire/Message to Payee: _____________________________________________________________
Bank Name ________________________________________________________________________________
Bank Address ___________________________________ ____________ ______________________
Street number and name
Province/State Postal/Zip Code Country
IBAN/Bank Account Number
Swift Code _________________________________________________________________________________
Routing Code or ABA Number _________________________________________________________________
_________ __________________
Street number and name ni City
Postal/Zip Code Country
_________ __________________
Accounting Information
Department Program Project Natural Account Classification
Your typed name below indicates your approval of the form and confirms that all information is accurate.
Requested by ____________________________________________ Date _______________________
Approved by ____________________________________________ Date _______________________
Please submit the completed form to along with a copy of the invoice.
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