Wire Transfer Form

Wire Transfer Request

Select wire type

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Wire Amount

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Total with fees

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We have cutoff times for processing funds transfers. Requests received prior to 1:00 P.M. (local time) will be same day transmitted. If you submit this funds transfer after the cutoff time, we may treat the funds transfer as if we received it on our next business day. Funds transfer business days will include all of our normal business days.

MEMBER / ORIGINATOR

First Name

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Last Name

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Contact Number

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Member Number

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Driver’s License / ID Number

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Street Address

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City

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State

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Zip Code

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Country

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PURPOSE OF WIRE

Please explain(*)

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RECEIVING FINANCIAL INSTITUTION

Routing/ABA

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IBAN #

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Account / SWIFT #

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Receiving Financial Institution Name

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Street Address

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City

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State

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Zip Code

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Country

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Additional Beneficiary Financial Institution (If Applicable)
A beneficiary financial institution receives funds from a sender financial institution through a third-party.

Is there a beneficiary financial institution?

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Account/Routing/ABA

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IBAN #

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Account / SWIFT #

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Beneficiary Financial Institution Name

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Street Address

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City

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State

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Zip Code

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Country

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BENEFICIARY / FINAL CREDIT TO

Account #

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Beneficiary Name / Final Credit to

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Street Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Country

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OTHER INFORMATION:

Special Instructions (Escrow or reference number, final credit information, etc.)

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WIRE TRANSFER AUTHORIZATION

You authorize us, Ontario Montclair School Employees Federal Credit Union, to transfer funds (a “funds transfer”) as shown on the reverse. Our charges for the funds transfer are disclosed in our fee schedule and are indicated on the reverse. Other banks involved in the funds transfer may impose additional changes.

We may fail to act or delay in acting on a funds transfer without any liability because of legal constraint, your negligence, interruption of communication facilities, equipment failure, war, emergency conditions, or other circumstances beyond our control. We may also fail to send or delay in sending a funds transfer without any liability if sending the order would violate any guideline, rule or regulation of any government authority.

WE ARE NOT LIABLE FOR CONSEQUENTIAL, SPECIAL OR EXEMPLARY DAMAGES OR SIMILAR LOSSES OF ANY KIND.

If you ask us to cancel or amend a funds transfer, we may make a reasonable effort to act on your request, but we are not liable to you if for any reason this funds transfer is not amended or canceled. You agree to reimburse us for any costs, losses or damages that we incur in connection with your request to amend or cancel the funds transfer.

If we try to cancel this funds transfer, we do not have to refund your money until we determine that the beneficiary has not received the money and the money is returned to us. If we return your money, the refund may not be equal to the amount of the original funds transfer request. For example, the amount may be different because of a charge other banks may impose to return the funds transfer.

We have cutoff times for processing funds transfers. Requests received prior to 1:00 P.M (local time) will be same day transmitted. If you give us this funds transfer after the cutoff time, we may treat the funds transfer as if we received it on our next business day. Funds transfer business days will include all of our normal business days.

You must accurately identify beneficiaries of your funds transfer to include the complete address on the account. If you give us the name and account number of a beneficiary, we and other banks may process the transfer based on the account number alone, even though the account owner may be a person other than the beneficiary names. If you give us the name and identifying number of a bank, we and other banks may process the funds transfer based on the banks identifying number alone, even though the number may identify a bank other than the bank names. In these cases, you are still obligated to pay us the amount of the funds transfer.

Fedwire is the funds transfer system of the U.S. Federal Reserve Banks. We or other banks involved may use Fedwire to make the funds transfer. If Fedwire carries any part of the funds transfer, in addition to applicable state laws, your rights and obligations regarding the funds transfer are also governed by Regulation J of the U.S Federal Reserve Board.

When a funds transfer is requested by you, the security procedures involve use of identification methods that may involve, photo identification, signature identification of original signature and/or call back procedure by us.

You authorize us to debit your account indicated on the reverse to pay for this funds transfer plus applicable fees. We notify you about the funds transfer by listing it on your account statement. You must send us written notice, including a statement of relevant facts, within 14 calendar days after you receive the first account statement on which any unauthorized or erroneous debit to your account, or any other discrepancy between your records and ours appear. If you fail to notify us within this 14-day period, we are not liable, or obligated to compensate you, for any loss of interest or interest equivalent because of an unauthorized or erroneous debit.

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Do you agree to these terms?

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