Wire Transfer Blank Template PDF Details

If you need to send a wire transfer, there are a few things you will need to have on hand. The first is the wire transfer blank template form. This form can be used to provide your financial institution with all of the information they will need in order to process the transfer. The second is money to cover the cost of the transfer. And lastly, you'll need the recipient's banking information. To get started, download and complete the wire transfer blank template form below. Then take it along with you when you go to your financial institution. They will be able to help guide you through the process from there.

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Form NameWire Transfer Blank Template
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesbank invoice, wiring instructions template, blank wire instruction form, wire request form template

Form Preview Example


If you are planning to transfer funds to UC Irvine Extension via bank wire, it is very important to provide the information below to your sending bank. You must also submit a completed Wire Transfer Form by fax or e-mail so that we may locate the payment. Please be sure that the conversion rate for funds satisfies the total amount to be transferred.

UCI accounts are held with Bank of America. In order to ensure the accurate and prompt accounting for funds wired to Bank of America, we ask that you please provide the following information to your sending bank.

Our Bank and City:

Bank of America


UCI Depository


Global Client Services




Building A, 10th Floor


1655 Grant Street


Concord, California 94520-2445

ABA (ACH) Routing Number:


SWIFT code:


Bank Account Name and Number:

Regents of the University of California



Name of UCI Department:

UC Irvine Extension – English & Certificates for Internationals


Attn: Marlita Harris


FAX: (949.824.2090)


Include the invoice # and/or student name and ID number

Invoice number,
if applicable
Name (Family name, First name) and Date of Birth, if applicable

Wire Transfer Form

To: Ms. Marlita Harris – Student Services

UC Irvine Extension

Fax: (949) 824-2090

Tel: (949) 824-3310

Student or Agency Name: ____________________________________________________________

Contact Person:____________________________________________________________


E-mail Address:____________________________________________________________

Wire Transfer Details

A wire in the amount of $____________________________________

will be wired to UC Irvine Extension on _________/_________/_________


from ____________________________________________ bank.

(Name of financial institution)

These funds should be allocated to the following student(s):

(You may also provide the student names on a separate sheet) Student

ID#, ifYear & Term Program applicable


Please also include the bank’s confirmation that the wire transaction has been processed.

Please include a copy of our invoice, if applicable along with this form when faxing.

Watch Wire Transfer Blank Template Video Instruction

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