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Outgoing Wire Transfer Form

Originator Information (Member sending funds)

  • OK Member Name is required
  • OK Member Address is required
  • OK Member City is required
  • OK Member State is required
  • OK Member Zip Code is required
  • Optional OK Member Phone is required
  • OK Account # is required
  • Optional OK Suffix is required

Outgoing Wire Details

  • OK Dollar Amount is required

  • Wire Date

    OK Wire Date is required
  • OK Purpose is required

Beneficiary (Person Receiving Funds)

  • OK Name is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • OK Phone is required
  • OK Account Number is required
  • OK Special Notes is required

Beneficiary's Bank Information

  • OK ABA Routing Number is required
  • OK Bank Name is required
  • OK Bank Address is required
  • OK Bank City is required
  • OK Bank State is required
  • OK Bank Zip Code is required

  • Will this wire need to go through another financial institution first?

    OK Will this wire need to go through another financial institution first? is required

Receiving Institution

  • OK Routing/Transit Number is required
  • OK Financial Institution Name is required
    OK By checking this box, I hereby authorize United Equity Credit Union to complete the outgoing wire transfer, providing the listed information for the transfer. I am aware of all fees associated with the wire transfers. There is a $15 fee for domestic wires, $75 fee for international wires, and $50 fee for recalled wire transfers. is required
  • OK is required