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    Wire Request Form

    Uploaded by

    khushbu25
    This document summarizes the process and requirements for requesting wire transfers of funds from the Optical Society of America (OSA) for international student chapters and sections. Key points include: - International chapters must use the Wire Request Form to request payment by wire transfer in US dollars. Supporting documentation must be included. - Chapters must complete the OSA International Student Chapter Funding Receipt Form to identify authorized officers to receive funds. - All account and bank information must be accurately provided to ensure successful transfer. If two wire attempts fail, funds will be sent by check in US dollars.

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    Attribution Non-Commercial (BY-NC)
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    Wire Request Form

    Uploaded by

    khushbu25
    815 views3 pages
    This document summarizes the process and requirements for requesting wire transfers of funds from the Optical Society of America (OSA) for international student chapters and sections. Key points include: - International chapters must use the Wire Request Form to request payment by wire transfer in US dollars. Supporting documentation must be included. - Chapters must complete the OSA International Student Chapter Funding Receipt Form to identify authorized officers to receive funds. - All account and bank information must be accurately provided to ensure successful transfer. If two wire attempts fail, funds will be sent by check in US dollars.

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    This document summarizes the process and requirements for requesting wire transfers of funds from the Optical Society of America (OSA) for international student chapters and sections. Key points include: - International chapters must use the Wire Request Form to request payment by wire transfer in US dollars. Supporting documentation must be included. - Chapters must complete the OSA International Student Chapter Funding Receipt Form to identify authorized officers to receive funds. - All account and bank information must be accurately provided to ensure successful transfer. If two wire attempts fail, funds will be sent by check in US dollars.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    815 views3 pages

    Wire Request Form

    Uploaded by

    khushbu25
    This document summarizes the process and requirements for requesting wire transfers of funds from the Optical Society of America (OSA) for international student chapters and sections. Key points include: - International chapters must use the Wire Request Form to request payment by wire transfer in US dollars. Supporting documentation must be included. - Chapters must complete the OSA International Student Chapter Funding Receipt Form to identify authorized officers to receive funds. - All account and bank information must be accurately provided to ensure successful transfer. If two wire attempts fail, funds will be sent by check in US dollars.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    The key takeaways are that wire transfer requests require accurate account and bank information, funds will be sent in US dollars, and if the second wire attempt fails funds will be sent via check.

    To complete the wire request form, it requires the request date, date needed, amount, wire payable to details including name, bank name, account number, address and reference, purpose of funds, and any special instructions.

    Before submitting a non-US wire request, it is important to verify that all information is accurate, the name matches the account, all account numbers are correct, and funds will be sent in US dollars unless otherwise instructed.

    WIRE REQUESTS FORM

    PLEASE REVIEW BEFORE SUBMITTING REQUEST


    WIRE REQUESTS

    International chapters/sections may request payment by electronic payment using the wire transfer form
    or request a check using the check request form. All monies distributed will be in U.S. dollars.

    All requests for wires must use the Wire Request Form. Any and all supporting documentation such as
    a copy of an OSA grant award letter or start up fund documentation must be included.

    OSA will make two attempts to send the funds. If the second attempt fails, the funds will be sent in
    check form in U.S. dollars.

    Non-U.S.-based chapters/sections must also complete the OSA International Student Chapter Funding
    Receipt Form when requesting funds. This form identifies officer/s of the chapter that are authorized to
    receive the funds on behalf of the chapter/section.

    SUBMITTING THE FORM


    Once you have completed the form you can e-mail it directly to OSA at [email protected].
    You may also submit your request via mail to:
    OSA Member Services
    c/o Chapters and Sections
    2010 Massachusetts Avenue, NW
    Washington, DC 20036
    If you submit your request via mail please provide a self-addressed return envelope for use in mailing your
    check to the chapter.

    Wire Request Form for International Student Chapters and Sections

    Finance Only

    1. Date Requested _____________________


    2. Date Needed

    Domestic
    International

    _____________________

    3. Amount of Wire _____________________

    ________________
    ________________

    _______________________________
    Wire Approval (Executive Director or COO)

    Please Provide Complete Address to Payee Bank & Individuals Account Information
    Payable Through US Bank For International Wires
    4. Wire Payable To:
    Bank Name:
    Branch:
    Street Address, City, Zip:
    Country:
    Bank Account Number/IBAN
    Name of Account Holder
    Bank Swift number

    ________________________________________________
    ________________________________________________
    ________________________________________________
    ________________________________________________
    ________________________________________________
    ________________________________________________
    ________________________________________________
    ________________________________________________

    Payable Through US Bank


    ________________________________________________
    Branch
    ________________________________________________
    Street Address, City, State, Zipcode
    _________________________________________
    Bank Routing Number (ABA or SWIFT) _________________________________________
    Bank Account Number (May not be necessary) ____________________________________
    5. Address:

    _____________________________________________________________
    _____________________________________________________________
    _____________________________________________________________
    _____________________________________________________________

    6. Reference:

    7. Purpose: (Deposit, Travel Advance, Refund, etc.) _________________________________


    _____________________________________________________________________________
    _____________________________________________________________________________
    6. Special Instructions: (If any) _________________________________________________
    __________________________________________________________________________
    _________Area below this line will be completed by OSA staff._________
    9. Is item in Budget?

    YES

    NO

    If NO, Please explain _______________________________________________________________


    _________________________________________________________________________________
    10. Requested By: ___________________________

    Date____/____/____

    11. Approved By:

    Date____/____/____

    __________________________

    12. Code # __ __ __ __- __ -__ __ __ - __ - __

    Amount $ __________

    Code # __ __ __ __ - __ __ - __ __ __ - __ __ - _0_

    Amount $ __________

    Code # __ __ __ __ - __ __ - __ __ __ - __ __ - _0_

    Amount $ __________

    Wire Request Form Instructions


    1.
    2.
    3.
    4.

    Date Requested: The date you are filling out the form.
    Date Needed: Note: It will take about 1-2 weeks to process wire transfers.
    Amount of Wire: Fill in the total amount being requested.
    Wire Payable To: This section must be completed in its entirety in order for your wire to be process.
    It is especially important that the name of the recipient matches the name on the account to
    which the funds will be wired.
    It is recommended that your bank review this information for accuracy before submitting your
    request.
    5. Address: Provide the complete chapter address associated with the bank account receiving the wire
    transfer
    6. Reference: Create a reference phrase your bank can use when noting the transfer in your account. An
    example would be OSA Grant Award.
    7. Purpose: A brief explanation of what the funds are for. For example: Activity Grant 2006 or
    Section Start-Up Funds.
    8. Special Instructions: Wire transfers are made in U.S. dollars. If that is not possible, provide special
    instructions in this area to request that funds be transferred in the currency of the receiving country.
    9. Is Item in Budget?: This area will be completed by OSA staff.
    10. Requested by: This area will be completed by OSA staff.
    11. Approved by: This area will be completed by OSA staff.
    12. Code #: This area will be completed by OSA staff.

    Before you submit your non-U.S. wire request

    Please verify that ALL information is accurate. It is especially important that the name of the recipient
    matches the name on the account to which the funds will be wired.

    Please be certain that all account numbers are correct.

    Please note that OSA will make two attempts to send the funds. If the second attempt fails, the funds
    will be sent in check form in U.S. dollars.

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