Citibank Wire – Fill Out and Use This PDF

Updated: Nov 9, 2026

The Citibank Wire Form serves as a comprehensive agreement and authorization document for individuals looking to transfer funds electronically, whether domestically or internationally. It outlines key details like originator information, wire transfer instructions, beneficiary information, and terms and conditions, ensuring a secure and informed process for transferring funds. For a smoother financial transaction, be sure to fill out the Citibank Wire Form by clicking the button below.

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Citibank Wire PDF Details

The Citibank Wire Transfer Authorization and Agreement form is a comprehensive document designed to facilitate the process of transferring funds electronically across borders or within the United States. It delineates the requisite information for initiating a wire transfer, including detailed originator information such as the account holder's name, account type, and account number, followed by the specifics of the wire transfer—the amount, currency, and beneficiary details. Notably, the form serves as a contractual agreement between the account holder and Citibank, laying down the terms and conditions for executing wire transfers. These terms cover a wide array of important aspects like reliance on the information provided on the form, authorization for Citibank to debit the originator's account for the transfer amount, details regarding the beneficiary bank, and the mechanisms of transfer, including the use of intermediary banks. It also outlines the responsibilities and liabilities concerning errors, delays, or the non-execution of the funds transfer order. Moreover, it addresses special requirements for international transfers, indicating the necessity for specific information depending on the destination country's currency and banking regulations. By signing this form, the account holder not only authorizes Citibank to proceed with the specified funds transfer but also agrees to accept the inherent risks of the transaction, including those associated with fax transmissions and the specified terms regarding currency exchange, indemnity, and governing law. This agreement reflects the complexities and responsibilities inherent in conducting secure and efficient wire transfers in today's global banking environment.

Question	Answer
Form Name	Citibank Wire
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	wire transfer agreement, citibank wire transfer, how to citibank wire transfer, wire authorization

How to Fill Out Wire Transfer Authorization and Agreement

Wire Transfer Authorization and Agreement at a glance

What it is: Wire Transfer Authorization and Agreement is the form on which Citibank may rely in making your funds transfer.

Who signs: Signing authorizes Citibank to execute the funds transfer instruction in accordance with the Terms and Conditions for Funds Transfers.

A filled-in Wire Transfer Authorization and Agreement example: a wire transfer to a U.S. bank

Wire Transfer Authorization and Agreement example filled out, example: a wire transfer to a U.S. bank — Dana Example sends a wire transfer from a Citibank account. She sends one transfer to a beneficiary at a bank in the United States. The picture shows page 1, and its names and figures are sample values. Both banks are in the United States, so the Currency is U.S. dollars. She uses the New York branch, so the Miami and San Francisco boxes stay empty. The Account Type and Check One choices are radio buttons the form gives no field names, so the example leaves them blank. International Bank Account Number (IBAN) is left blank because the beneficiary bank is in the United States, not Europe. Nothing goes in Intermediary Bank Information because the transfer needs no intermediary bank. Special Instructions is left blank because she has none. She signs on March 14, 2026.

How to fill out Wire Transfer Authorization and Agreement, box by box

Originator Information

Under ORIGINATOR INFORMATION, enter the Account Holder Name and the Account Number.

Check one Account Type: Checking, Savings or Money Market.

Enter the Country of Residence.

Branch

Check the Branch: New York, Miami or San Francisco.

Wire Transfer Information

Under WIRE TRANSFER INFORMATION, enter the Transfer Amount, the Currency* and the Amount (please write amount in words).

Beneficiary (Receiver) Information

Under BENEFICIARY (RECEIVER) INFORMATION, enter the Name, Telephone Number, Street Address, City, State/Province, Country* and Zip.

Enter the Account Number and the International Bank Account Number (IBAN), which is required if sending Funds to Europe.

Beneficiary Bank Information

Under BENEFICIARY BANK INFORMATION, enter the Bank Name, Street Address, City, State/Province, Country* and Zip.

Check One: Bank ABA, Sort Code, SWIFT, CHIPS or UID, and write its Number.

For transfers within the United States, the beneficiary bank must be a member of the Federal Reserve System or a correspondent bank of such a member, or a Clearing House Interbank Payment System (CHIPS) member.

Intermediary Bank Information (if applicable)

Under INTERMEDIARY BANK INFORMATION (if applicable), enter the Bank Name, Street Address, City, State/Province, Country* and Zip.

For the INTERMEDIARY BANK, check one: ABA, Sort Code, SWIFT, CHIPS or UID, and write its Number.

Special Instructions

Write SPECIAL INSTRUCTIONS, if any.

Originator Authorization

Under ORIGINATOR AUTHORIZATION, sign on the Authorized Signature and Date line and write the date as mm/dd/yy.

More rules for Wire Transfer Authorization and Agreement

Facsimile transmissions are not secure and may be intercepted by unauthorized individuals; by sending your instructions via facsimile you agree to accept any risk associated with facsimile transmissions.

Do not fax the Terms & Conditions; keep them for your files.

Any errors in the information, including misidentification of beneficiary(ies) {recipient(s)}, incorrect or inconsistent account names and numbers, identifying numbers of the intermediary bank or beneficiary bank, and misspellings, are your responsibility.

Citibank is authorized to debit your account for the amount of your funds transfer order.

You may recall or amend your funds transfer order only if the request is received prior to execution of the funds transfer order and at a time that provides a reasonable opportunity to act upon that request.

Your funds transfer order may be rejected if you have insufficient available funds in your account, if your order is incomplete or unclear, or if unable to fulfill your order for any other reason.

If your situation is different

You send funds to beneficiaries in other countries

Funds transfers to beneficiaries within the United States are made only in U.S. dollars.

For funds transfers to beneficiaries and beneficiary banks in other countries, unless you choose to send U.S. dollars, the transfer will be made in the currency of that country; Citibank will convert your U.S. dollar payment to the local currency at its exchange rate in effect at that time.

Common questions about Wire Transfer Authorization and Agreement

Can you wire transfer from Citibank?

Signing authorizes Citibank to execute the funds transfer instruction in accordance with the Terms and Conditions for Funds Transfers.

Is there a deadline?

If your funds transfer order is received by Citibank at or after its established cut-off hour for receipt of funds transfer orders as communicated by the bank, your funds transfer order will not be executed until the next banking day.

Are there fees?

You further authorize Citibank to charge your account a service fee for each funds transfer order you place in accordance with its fee schedule in effect from time to time.

Sources

[1] Wire Transfer Authorization and Agreement, Citibank, N.A. (WTRF0710E/S, the served file; no issuer file found) (the Official source link on this page).