WIRE TRANSFER FORM - INTERNATIONAL
(payee bank account outside US)
Instructions:
1. Complete information below or attach information provided on payee bank letterhead.
2. Attach this form to the payment request form being submitted (Check Requisition, Non-Employee
Payment for Services, etc). If a TravelND expense report is being submitted, attach an image of this form
as a Receipt.
3. Do not email this information. Attach hard copy to form being submitted or image in TravelND.
4. Contact Accounts Payable at 631-8274 for assistance.
5. Special Notes:
a. Mexico - wires must have a CLABE # (18 digits)
b. Great Britain – wires in US dollars must have a bank account # and a Sort Code (6 digits)
c. China – US dollar preferable. Chinese Yuan wires require additional information
BENEFICIARY BANK (payee’s bank):
Currency to be sent to payee (check one): US dollar Other currency (example: Euro)____________
B
ank
Name ___________________________________________________________________________________
Bank City & Country_____________________________________________________________________________
Swift Code ____________________________________________________________________________________
Payee’s Name on Bank Account ___________________________________________________________________
Bank Account Number (outside Europe) ____________________________________________________________
IBAN Number (Europe) __________________________________________________________________________
INTERMEDIARY BANK (if applicable):
Bank Name ___________________________________________________________________________________
Bank City & State _______________________________________________________________________________
ABA / Routing # (9 digits) ________________________________________________________________________
Account Number (if applicable) ___________________________________________________________________
Submitted by (print name)______________________________ Phone #________________
PRINT
RESET
