Oas Staff International Wire Transfer Form
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1INTERNATIONAL
Wire Transfer Form
OAS Staff FCU
1889 F Street, NW Washington, DC 20006
Tel: 202-458-3834 Fax: 202-458-3838
ORIGINATOR INFORMATION
Member Name
Account No.
Savings
Checking
Member Address
City
State
Country
Phone
Email
Amount
US$
WIRE DESTINATION
Full Name of Beneficiary*
Account No. of Beneficiary*
Beneficiary Address*
City
State
Country
Bank Name*
Account No.**
Swift Code.*
Bank/Branch Address*
City
Country
Intermediary Bank**
ABA or Routing No.**
Additional Information
MEMBER SIGNATURE & AGREEMENT
By signing this form I understand and accept that OAS Credit Union wire-transfers are made through
Mid-Atlantic Corp and may require the use of intermediary banks to process. Fees charged by these
banks and/or the receiving bank may be deducted from the amount of the wire. Any wire requests
received after 1:00 pm will not be processed until the following business day provided the funds are
available at that time. OAS Credit Union cannot guarantee that the receiving institution will actually
receive and/or act upon this wire transfer in a timely manner or that special instructions will be
Signature
followed by the receiving institution. I authorize OAS Credit Union to debit my account for the amount
of this wire transfer and any fees and expenses incurred in connection with the execution of this
request.
The OAS Credit Union has adopted security procedures regarding the origination of wire transfers as
Date
provided in UCC Article 4A. You accept these security procedures.
I also certify that the above
information is correct and complete.
FOR INTERNAL USE ONLY
Verified by: ____________________________________
Approved By: ____________________________________
OFAC
* Required
**Optional
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