Domestic Wire Transfer Form (for wires within the United States)
Please complete the form, print, sign and fax this form to CSULA FCU by 1:00 p.m.(PT) to have your funds wired the same business day. Wire requests received after 1:00 p.m.(PT) will be processed the following business day. If you have any questions, please call (323) 505-2600, weekdays between the hours of 8 a.m. and 4:00 p.m.

Please contact the credit union if you need to send a special wire such as a real estate transaction wire.

Fax to: (323) 505-2615

Fees: .See Schedule of Fees charges

Your Information (ORIGINATOR)
 * Required Fields
* Member Name:
(Originator/Sender)
* Member Street Address:
* City, State, Zip Code:
* Work Phone and Ext:
Home Phone:
Cell Phone:   
Email:   
* AMOUNT OF TRANSFER:
* DATE:
* Member Account Number:
(to be Debited)
*From: Checking or Savings

Recipient Bank Information
Transfer to
* NAME OF RECEIVING BANK:
* Receiving Bank's
ROUTING/TRANSIT NUMBER:
(Contact your financial institution for the correct wire routing number)
* Country:
Credit To
* NAME OF BENEFICIARY:
(Recipient)
* ACCOUNT NUMBER OF BENEFICIARY:
Reference # (optional):

SPECIAL PAYMENT INSTRUCTIONS OR REFERENCES:
(OR OTHER IDENTIFIERS OF THE BENEFICIARY)

Click here for the Wire Transfer Agreement
I am submitting a signed copy of the wire transfer agreement

Member Signature:

X__________________________________ Date:_____________
For Office Use Only
Employee Sending Wire: Member ID Verified by:
(   ) OFAC Validation ______ (   ) Phone    (   ) Sig. Card    (   ) CDL
Date of Last File Maintenance: (   ) Password    (   ) Passport
(   ) Funds verified and transferred Notes:

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