Wire Transfer Request

PO Preparer Information

Please enter the authorized wire approver contact information. Approver may receive an email notification from AP regarding this request.
Vendor Details

Pay To - Beneficiary Bank Information (branch where the Vendor's account is located)

18 digits required.

9 digits required.
Intermediary Bank Details

18 digits required.

Payment Details

Please separate purchase order #'s by comma.

PDF, Word or Excel are the only allowable documents