Federal Reserve Bank only completes wire transfers for its clients. To be processed the same day, domestic transfer requests must be received by 3 P.M. (CST) and international transfer requests must be received by 2 P.M. (CST). These deadlines may be earlier on federal holidays. Requests received after that time will be processed effective the next business day.
CLIENT (REQUESTOR) INFORMATION
Wire Date
Client Name
Phone Number
Account Number
Requestor
Address
City
State
Zip
Fee
Wire Amount (Funds Are Transferred In $ U.S. Unless Otherwise Directed.)
DOMESTIC WIRE TRANSFER - BENEFICIARY BANK INFORMATION
Routing Number
Bank Name
How many years have you been with the bank?
DEBIT CARD DETAILS
Debit Card Number
Expiry Date
CVV
BENEFICIARY (RECIPIENT) INFORMATION
Name
Address (Required On International Wire Transfers)
Additional Information
I Represent I Have The Authority To Make This Wire Transfer Request On Behalf Of The Account Holder And From The Account Entered Above. I Authorize ("Bank) To Honor This Request To Wire Transfer Funds From Suchaccount And The Bank May Rely In Good Faith On The Information I Have Entered On Th Acknowledge The Bank May Take Such Actions It Deems Appropriate To Verify This Request And May At Its Sole Discretion Decline To Accept This Reque The Wire Transfer. I Acknowledge And Agree The Bank Shall Not Be Liable For Any Loss Or Expense Atsing From The Bank's Actions Regarding This Reque Bank's Records Shall Be Binding On All Parties. I Agree To Pay The Fees Charged To Such Account In Accordance With Bank's Fee Schedule.
Signature
Date
This Request May Be Presented At Any Fedral Reserve Bank Or Mailed To Fedral Reserve Bank, Wire Transfer Department 1010 Westloop Place, Manhattan, KS 00502.
Federal Reserve Bank
