Wire Out Request Domestic

Domestic Wire Out Request

Use this form for Domestic wires (within the U.S.) for amounts under $10K. For international wires or amounts $10K and over please contact the Credit Union.

*All Domestic Outgoing wires are subject to a $20.00 processing fee.

Member Information:*

Name: *

Physical Address:

Street: *

City: *

ZIP Code: *

Daytime Phone Number: *

Debit Funds from: *

Checking

Regular Savings

Money Market

Other - Please specify in box below

Account Number: *

Amount (Less than 10K Only) *

*Wire transfer requests of 10K & over must be completed in person.

Receiving Institution - First Credit:*

Financial Institution: *

Routing number (ABA): *

City and State of FI: *

Receiving Institution - Further Credit (if applicable):

Corresponding FI:

Routing number (ABA):

Receiving Beneficiary - Final Credit:*

Beneficiary Name: *

Account Number: *

Physical Address:

Street: *

City: *

ZIP Code: *

Other instructions:

Click here to read the Wire Transfer Agreement Disclosure.

I have read the Wire Transfer Agreement and agree to its terms and conditions.

Thank you for submitting your Outgoing Wire Request!

Cutoff time for all Outgoing Domestic Wires is 3pm (MT) M-F.

A CU Member Service Representative will be contacting you shortly to complete this process.