Fillable Wire Request Form 11-4-15 Wire Transfer Template

Fill Online, Printable, Fillable, Blank Wire Request Form 11-4-15 Wire Transfer Template Form

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Wire Request Form 11-4-15 Wire Transfer Template

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The Wire Request Form 11-4-15 Wire Transfer Template form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Arkansas Tech University

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Controller's Office
1505 N Boulder Avenue
Browning Hall, 3rd Floor
Russellville, AR 72801
479-964-0898
http://www.atu.edu/controller
Wire Transfer Request
*
Required Fields
Additional Information/Instructions
* Account Number
* IBAN
ABA Routing # (US Banks):
* Bank Name:
Account Holder's Address:
* Account Name (Not Payee Name):
* SWIFT Code and/or BIC:
* Bank Address:
Important
Please inquire from the foreign bank (bank outside the United States) if they need to go through a correspondent bank in order to
receive a wire transfer from a US Bank. If this is true, then please obtain the required information regarding the bank's
correspondent bank.
*Requested By:
*Fund Code:
*Org Code:
*Account Code:
*Program Code:
*Wire Request Amount:
Please provide a brief description of the services/goods provided or reason for the payment.
*Approved By:
Date:
*
*
____________________________________________
Vendor T#: __________________
Vendor Name: ___________________________________________
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Wire Request Form 11-4-15 Wire Transfer Template

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Completed 27 February 2020

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