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Domestic Wire Request Form

MEMBER INFORMATION:







WIRE INFORMATION:

For best results, please contact the receiving institution to obtain their "wire-in" instructions.


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This request is subject to verification for security purposes.

I understand it is my responsibility to provide legible and accurate routing and payment instructions to the credit union. I have reviewed the above information and verified that it is correct. I understand the cutoff time is 3 p.m. EST for wires, provided that the above information is correct and verified. Incorrect wire instructions will result in the return of the wire transfer. If a wire is rejected, you will be charged our wire transfer fee and any rejection fees assessed by the Beneficiary and Intermediary institutions if applicable. I authorize Lafayette Federal Credit Union to wire the funds and deduct the fee from my account.

WIRE TRANSFER DISCLOSURE

If you send or receive a wire transfer, Fedwire may be used. Regulation J is the law covering all Fedwire transactions. This means that your rights and liabilities in a wire transfer involving Fedwire will be governed by Regulation J. Your wire transfer request will be processed based on information you provide to us. It is your responsibility to provide accurate routing and payment instructions to the credit union. The cut-off time for processing properly completed and verified wire transfer requests is 3:00 p.m. EST. Any request received after the cut-off time may not be processed until the next business day. For security purposes, this wire request may be verified by telephone confirmation with the authorizing member. Wire transfer fees are charged according to the current Rate and Fee Schedule.

SECURITY PROCEDURES: Lafayette Federal Credit Union may establish, from time to time, security procedures to verify the authenticity of a payment order. You will be notified of the security procedure, if any, to be used to verify payment orders issued by you or for which your account will be liable. You agree that the authenticity of payment orders may be verified using that security procedure unless you notify the credit union in writing that you do not agree to that security procedure before the payment order is executed by us. In that event, the credit union shall have no obligation to accept any payment order from you or other authorized parties on the account until you and that credit union agree in writing on an alternate security procedure.

BENEFICIARY IDENTIFICATION: If you give Lafayette Federal Credit Union a payment order which identifies the beneficiary (recipient of the funds) by both name and identifying or account number, payment may be made by the beneficiary's bank on the basis of the identifying or bank account number, even if the number identifies a person different than the named beneficiary. This means that you will be responsible to the credit union if the funds transfer is completed on the basis of the identification number you provided to the credit union.

BANK IDENTIFICATION: If you give Lafayette Federal Credit Union a payment order which identifies an intermediary or beneficiary's bank by both name and an identifying number, a receiving bank may rely on the number as the proper identification even if it identifies a different person than the named bank. This means that you will be responsible for any loss or expenses incurred by a receiving bank which executes or attempts to execute the payment order in reliance on the identifying number you provided.



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