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Fill Out a Valid Western Union Form

The Western Union form is a document used to facilitate money transfers and payments through Western Union's services. This form captures essential information such as sender and receiver details, transaction amounts, and payment methods. Understanding how to fill out this form accurately can ensure a smooth and efficient transfer process.

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Structure

The Western Union form plays a vital role in facilitating money transfers across the globe. This form is essential for individuals and businesses alike, allowing them to send and receive funds quickly and securely. It typically requires the sender's and recipient's information, including names, addresses, and contact details. Additionally, the form captures the amount being transferred and any applicable fees. Users must also select a payment method, which can include cash, debit, or credit card options. Understanding the nuances of the Western Union form is crucial for ensuring a smooth transaction process. By filling out the form accurately, senders can avoid delays and ensure that their funds reach the intended recipient without complications. Overall, this form is a straightforward yet powerful tool for managing financial transactions in an increasingly interconnected world.

Common mistakes

Incorrect Recipient Information: Many individuals fail to double-check the recipient's name and address. Even minor spelling errors can lead to significant delays or the funds being sent to the wrong person.
Missing Contact Information: Some users neglect to provide their own contact details. This omission can create challenges if there are any issues with the transaction.
Inaccurate Amount: People often enter the wrong amount they wish to send. This mistake can result in the transaction being rejected or funds being sent in an incorrect quantity.
Ignoring Fees: Many forget to account for the service fees when determining how much money to send. This oversight can lead to confusion about the total amount being transferred.
Failure to Sign: Some individuals forget to sign the form altogether. Without a signature, the transaction may not be processed.
Not Reviewing the Form: A common mistake is not reviewing the entire form before submission. Taking a moment to check for errors can prevent complications later on.

Preview - Western Union Form

1800 501 500

*1235 Send Money

*1236 Receive Money

CUSTOMER NAME

PLEASE PRINT CLEARLY. Identification is required for all customers: Current Passport, Australian Drivers Licence or Proof of Age Card.

Full Legal	First	Middle	Last
Name

EXISTING CUSTOMERS

NEW CUSTOMERS

or updated details for existing customers

Mobile Number

Western Union Customer Number

Address (Post office box addresses are not permitted)

Suburb

State

Postcode

Country of Citizenship (must have)

Mobile Number

Date of Birth (DD/MM/YYYY)

Country of Birth (must have)

To send money, complete this section

TRANSACTION DETAILS

OPTIONAL

SERVICES FOR SENDING

Destination Country

Destination Currency		Amount to be Sent.	Australian Dollars	$		or	Payout Amount at Destination
		Complete one only.	(AUD)	$		or

	I want the money sent
	I want the money sent	Bank Name			Bank Code / BIC
	direct to a Bank Account
	direct to a Bank Account

Account Name		Bank Location (City)			Account Number / IBAN

I want the money sent to a mobile

Country Code

Mobile Number

RECEIVER’S	Western Union wants to help you avoid being exposed to fraud. If you don’t know the person you’re sending to, we recommend you do not send.
DETAILS	Neither Western Union nor its Agents carry out a comparison of the “To Send Money” form against the “To Receive Money” form to verify the address given for the receiver.
	Full Legal	First	Middle	Last

	Name

	Current Address		(Post office box addresses are not permitted)

City / Suburb

State / Province

Postcode

Country

TEST QUESTION

Not required for all countries. If unsure if this is required, ask at the counter for further details.

Question

Answer

To receive money, complete this section

All fields must be completed

Money Transfer Control Number

Amount Expected

Originating Country

(AUD)

Sender’s

First

Middle

Last

Name

CUSTOMER’S SIGNATURE

All customers to complete this section

The exchange rate for your transfer appears on the Transaction Receipt. However, if the country to which you are sending requires that transfers be converted when paid, the rate shown is only an estimate. Western Union and its Agents also make money from currency exchange. The terms and conditions governing this money transfer are available at this Agent location, can be viewed at westernunion.com.au, and have been summarised on the back of th is form for reference only. You agree to those terms and conditions by signing this form.

By signing this form, you: 1. Expressly consent to the transfer of your personal data entered above to WU Affiliates located ou tside of the European Economic Area, including to the U.S. for the purpose of providing the money transfer service to you and undertaking the additional data processing activities specified in the Data Protection section of the terms and conditions. You have the right to withdraw your consent at any time. 2. Expressly consent to the carrying out of profiling activities and marketing communications. 3. Confirm that the information you have provided is correct and that you have read and accepted the terms and conditions of the service overleaf.

Customer’s Signature

Date (DD/MM/YYYY)

OFFICE USE ONLY

Attach Duplicate Transaction	Money Transfer Control Number	Staff Name	Staff Signature	Date (DD/MM/YYYY)
Receipt to this copy

Office copy	8839661 • Oct 2017

Fanapart glue

210mm X 297mm_IAP_03112017_8839661_Page 1

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SUMMARY OF THE WESTERN UNION® MONEY TRANSFERSM SERVICE TERMS AND CONDITIONS (FOR THE FULL TERMS AND CONDITIONS, PLEASE ASK ANY WESTERN UNION AGENT OR VISIT WWW.WESTERNUNION.COM.AU)

Western Union® Money TransferSM transactions can be sent and picked up at most Western Union® Agent locations worldwide. Regular money transfers are usually available within minutes for pick up by the receiver, subject to the opening hours of the receiving Western Union Agent (“Agent”) location. Exceeding amount limitations, regulatory restrictions or other restrictions in certain countries may delay the transaction. Western Union does not act as the agent or representative of any bank for any purpose and does not accept deposits on behalf of any bank.

Money transfers will normally be paid in cash, but some Agents may pay by cheque or a combination of cash and cheque or may offer or the receiver may choose other ways to receive funds and some money transfers may be paid to accounts. All cash payments are subject to availability, receivers showing documentary evidence of their identity and providing all details about the money transfer required by Western Union, including sender’s and receiver’s names, country of origin, approximate sum, money transfer control number and any other conditions or requirements applicable at the Agent location. The sender authorizes Western Union to honor the receiver’s choice of method to receive funds even if it differs from the sender’s. Cash money transfers shall be paid to the person that Agents deem entitled to receive the transaction after verification of identity often through examination of identification documents. Such payment can be made even when the form filled out by the receiver contains errors. Neither Western Union nor its Agents carry out a comparison of the “To Send Money” form against the “To Receive Money” form to verify the address given for the receiver. In some destinations the receiver may be required to provide identification, a test question answer or both to receive funds in cash. Test questions are not an additional security feature and cannot be used to time or delay the payment of a transaction and are prohibited in certain countries. Applicable law prohibits money transmitters from doing business with certain individuals and countries. Customers are sometimes required to provide additional identification or information, delaying transactions.

TRANSFER FEES: Written information explaining how Western Union charges the sender for making a money transfer will either be displayed prominently at the Agent location or shown to the sender prior to completion of the payment order. In certain cases, payment of a money transfer may be subject to local taxes and service charges. FOREIGN EXCHANGE: Money transfer payments will normally be made in the currency of the destination country. In addition to the transfer fee applicable to each transfer and if the currency which the sender presents to an Agent is not the currency to be received by the receiver, all currency is converted at Western Union’s then current rate of exchange. The currency will be converted at the time of transfer and the receiver will receive the foreign currency amount shown on the Transaction Receipt. In a few countries local regulations require the currency to be converted at the time the receiver is paid, in which case the exchange rate and any amounts shown on the Transaction Receipt may be subject to exchange rate fluctuations between the time of transfer and the time the receiver collects the funds.

SPECIAL SERVICES: Where available, Western Union offers free SMS notification to indicate that the transaction has been collected by the receiver (for the sender) or that funds are available for collection (for the receiver). Western Union will send SMS messages to a third party gateway for delivery. ACCOUNT BASED TRANSFERS: Where available, the receiver may incur additional fees for receiving the sender’s funds through a mobile telephone or to a bank or other account. Additional costs or delay may occur if transfers are not sent to a local (receiver) currency account. The receiver’s agreement with its mobile phone service, mWallet, bank or other account provider governs the account and determines their rights, liability, fees, funds availability and account limitations. In the event that the account number provided (including mobile phone numbers for mobile accounts) does not belong to the named receiver, the transfer will be credited to the account number provided by the sender. Western Union may make money from fees associated with use of an account. REFUND - Western Union will refund the principal amount of a money transfer upon the sender’s written request if payment has not made or credited. Transfer fees are not refunded if the transfer is stopped at the sender’s request.

LIABILITY: Western Union disclaims all liability in respect of the sender’s relationship with the receiver, without limitation, in respect of the delivery or suitability of any goods or services paid for by means of a Western Union money transfer. The sender’s transaction data is confidential to him and should not be shared with any other person other than his receiver. The sender is cautioned against sending money to any person he does not know. In no event shall Western Union or any of its Agents be liable if the sender communicates transactional data to any person other than his receiver. To the extent permitted by law, in no event shall Western Union or any of its Agents be liable for damages for delay, nonpayment or underpayment of this money transfer, or non-delivery of any supplemental message, whether caused by negligence on the part of their employees or agents or otherwise, beyond the sum equivalent to US$500 (in addition to refunding the principal amount of the money transfer and the transfer fee). In no event will Western Union or its Agents be liable for any indirect, special, incidental, or consequential damages. The foregoing disclaimer shall not limit Western Union’s or Agent’s liability for damages resulting from Western Union’s or Agent’s gross negligence or intentional misconduct in those jurisdictions where such a limitation of liability is void. The foregoing disclaimer shall not exclude Western Union’s nor its Agent’s liability for any condition or warranty that cannot be excluded by law including any implied warranty that it will render services with due care and skill, and Western Union’s and its Agent’s liability for breach of such condition or warranty shall be limited to the greater of the cost of providing the affected service again and the sum equivalent to US$500.

DATA PROTECTION: Your personal information is processed under applicable laws and is controlled & used by Western Union for the purposes of providing the requested services. Your information is used to provide you with the services you have asked for and may also be used in connection with other services, products, convenience and/or rewards programs, you signed up for with Western Union or its affiliates, and, subject to your choices, send you commercial communications. Providing your information and that of the receiver of our services is voluntary but necessary to execute the transaction. You consent to Western Union disclosing or transferring your information and Third Party Information to third parties to carry out transactions. Western Union may also disclose such information to third parties, where reasonably necessary, for the purposes of the prevention, detection, investigation and prosecution of crime, or when required by law, and the recipients may further disclose the information for these and other related purposes. If you wish to exercise your rights to access, request a copy, correct, erase or block your information or no longer wish to receive commercial communications from Western Union, please call 1800 501 500 (free calls from landlines and public phones, standard mobile charges apply check with your network provider) during regular business hours.

Effective 29 December 2015, the service in Australia is provided by a network of authorised independent agents and representatives in conjunction with Western Union Financial Services, Inc. (for money transfers from the United States, Canada, and Mexico, and for commercial services transactions) and Western Union (Ireland) Partnership (for all other transactions), through a network of authorised Agents and representatives (outside Australia).

8839661 • Oct 2017

210mm X 297mm_IAP_03112017_8839661_Page 1 (BACK)

P417U

1800 501 500

*1235 Send Money

*1236 Receive Money

CUSTOMER NAME

PLEASE PRINT CLEARLY. Identification is required for all customers: Current Passport, Australian Drivers Licence or Proof of Age Card.

Full Legal	First	Middle	Last
Name

EXISTING CUSTOMERS

NEW CUSTOMERS

or updated details for existing customers

Mobile Number

Western Union Customer Number

Address (Post office box addresses are not permitted)

Suburb

State

Postcode

Country of Citizenship (must have)

Mobile Number

Date of Birth (DD/MM/YYYY)

Country of Birth (must have)

To send money, complete this section

TRANSACTION DETAILS

OPTIONAL

SERVICES FOR SENDING

Destination Country

Destination Currency		Amount to be Sent.	Australian Dollars	$		or	Payout Amount Destination
		Complete one only.	(AUD)	$		or

	I want the money sent
	I want the money sent	Bank Name			Bank Code / BIC
	direct to a Bank Account
	direct to a Bank Account

Account Name		Bank Location (City)			Account Number / IBAN

I want the money sent to a mobile

Country Code

Mobile Number

RECEIVER’S	Western Union wants to help you avoid being exposed to fraud. If you don’t know the person you’re sending to, we recommend you do not send.
DETAILS	Neither Western Union nor its Agents carry out a comparison of the “To Send Money” form against the “To Receive Money” form to verify the address given for the receiver.
	Full Legal	First	Middle	Last

	Name

	Current Address		(Post office box addresses are not permitted)

City / Suburb

State / Province

Postcode

Country

TEST QUESTION

Not required for all countries. If unsure if this is required, ask at the counter for further details.

Question

Answer

To receive money, complete this section

All fields must be completed

Money Transfer Control Number

Amount Expected

Originating Country

(AUD)

Sender’s

First

Middle

Last

Name

CUSTOMER’S SIGNATURE

All customers to complete this section

Customer’s Signature

Date (DD/MM/YYYY)

OFFICE USE ONLY

Attach Transaction Receipt	Money Transfer Control Number	Staff Name	Staff Signature	Date (DD/MM/YYYY)
to this copy

Customer copy

8839661 • Oct 2017

210mm X 297mm_IAP_03112017_8839661_Page 2

PGREENUP417UP109UBLACK

210mm X 297mm_IAP_03112017_8839661_Page 2 (BACK)

P186UPGREENUP417UP109UBLACK

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Documents used along the form

When using Western Union services, several additional forms and documents may be required to ensure a smooth transaction. Each document serves a specific purpose, helping to facilitate the transfer of funds and verify the identity of the sender and recipient.

Identification Document: A government-issued ID, such as a driver's license or passport, is often required to verify the identity of the sender.
Money Transfer Control Number (MTCN): This unique number is assigned to each transaction and is essential for tracking and confirming the transfer.
Receiver's Information Form: This form collects details about the recipient, including their name, address, and contact information.
Sender's Information Form: Similar to the receiver's form, this document gathers details about the sender to ensure accurate processing.
Payment Receipt: After completing the transaction, a receipt is issued. This document serves as proof of payment and may be needed for future reference.
Currency Exchange Form: If the transaction involves currency conversion, this form outlines the rates and fees associated with the exchange.
Mobile Home Bill of Sale: A legal document to transfer ownership of a mobile home, essential for ensuring a smooth transaction. More information can be found in the Mobile Home Bill of Sale.
Compliance Declaration: This document affirms that both the sender and receiver comply with legal and regulatory requirements regarding the transfer of funds.
Transaction Agreement: This agreement outlines the terms and conditions of the transaction, ensuring both parties understand their rights and obligations.
Tax Identification Number (TIN): In some cases, a TIN may be required for tax reporting purposes, particularly for larger transactions.

Understanding these documents can help streamline your Western Union experience. Being prepared with the necessary forms will facilitate a more efficient and secure transaction.

Similar forms

The Western Union form shares similarities with a money order. Both documents serve as secure methods for transferring funds. A money order is prepaid, meaning the sender must purchase it before sending money. Like the Western Union form, it requires the sender's information and the recipient's details. This ensures that funds are tracked and delivered accurately, reducing the risk of fraud.

Another document similar to the Western Union form is a bank wire transfer form. This form is used to electronically transfer money from one bank account to another. Both forms require sender and recipient information, and both facilitate quick transactions. However, wire transfers typically involve banks, while Western Union operates independently, providing more accessibility for users without bank accounts.

The PayPal payment request is also comparable to the Western Union form. Both allow individuals to send money to others without needing to exchange cash physically. Users must provide their email addresses and the amount to be sent. PayPal offers the convenience of online transactions, while Western Union provides a more traditional approach through physical locations.

The Western Union form is similar to a money transfer order. Both documents serve the purpose of facilitating the transfer of funds from one party to another. A money transfer order outlines the sender's information, the recipient's details, and the amount being sent. Like the Western Union form, it usually requires the sender's signature to authorize the transaction, ensuring that only authorized individuals can initiate the transfer. Both forms also record pertinent transaction information, creating a paper trail for accountability and tracking purposes. Furthermore, understanding other essential aspects such as the Homeschool Letter of Intent can provide parents with insights into formal documentation required for educational purposes.

Additionally, a remittance form is quite similar. Remittances are often used by individuals sending money to family members in different countries. Like the Western Union form, remittance forms require sender and recipient details. Both documents aim to ensure that funds reach the intended person securely and efficiently, often across international borders.

Gift card purchase forms also bear resemblance to the Western Union form. When someone buys a gift card, they fill out a form that includes the card's value and the recipient's information. Both forms facilitate the transfer of value from one person to another. However, gift cards are typically limited to specific retailers, while Western Union forms can be used for a broader range of transactions.

Similarly, a check is another document that shares characteristics with the Western Union form. Both can be used to transfer funds from one person to another. A check requires the payer's signature and the recipient's name, similar to how the Western Union form requires detailed sender and recipient information. However, checks can take longer to clear compared to the instant nature of Western Union transactions.

The prepaid debit card application form is also akin to the Western Union form. Both allow users to load money onto a card for later use. The application process for a prepaid card requires personal information, much like the Western Union form. Users can then use the card to make purchases or withdraw cash, providing flexibility in accessing funds.

Finally, a credit transfer form is another document that resembles the Western Union form. This form is used to authorize a transfer of funds from one bank account to another. Both forms require detailed information about the sender and recipient. While credit transfers are typically processed through banking institutions, the Western Union form offers an alternative for those seeking a more immediate or accessible way to send money.

Dos and Don'ts

When filling out the Western Union form, it's important to ensure accuracy and clarity. Here are five tips on what to do and what to avoid.

Do: Double-check all personal information, including your name, address, and phone number, for accuracy.
Do: Use clear and legible handwriting if filling out a paper form.
Do: Provide complete details about the transaction, including the amount and recipient's information.
Do: Keep a copy of the completed form for your records.
Do: Ask for help if you're unsure about any section of the form.

Don't: Leave any required fields blank, as this may delay your transaction.
Don't: Use abbreviations or nicknames for names or addresses.
Don't: Forget to review the form before submission to catch any mistakes.
Don't: Share sensitive information, like your Social Security number, unless it's necessary for the transaction.
Don't: Rush through the process; take your time to ensure everything is filled out correctly.

Key takeaways

When filling out and using the Western Union form, keep the following key takeaways in mind:

Provide Accurate Information: Ensure that all details, such as names, addresses, and amounts, are correct to avoid delays.
Understand Fees: Be aware of the fees associated with the transfer, as they can vary based on the amount and destination.
Choose the Right Service: Western Union offers different services, including online transfers and in-person transactions. Select the one that best meets your needs.
Keep Your Receipt: After completing a transaction, retain the receipt. It contains important tracking information.
Know the Transfer Limits: Familiarize yourself with the maximum and minimum amounts you can send, which may differ by location.
Check Identification Requirements: Some transactions may require identification. Ensure you have the necessary documents ready.
Be Aware of Scams: Always verify the recipient's identity and avoid sending money to unknown individuals to protect yourself from fraud.

How to Use Western Union

Filling out the Western Union form is a straightforward process that requires attention to detail. Once you have the form in front of you, you'll need to provide specific information to ensure a smooth transaction. Follow these steps carefully to complete the form accurately.

Start with your personal information. Write your full name, address, and contact number in the designated fields.
Next, enter the recipient's details. Include their name, address, and phone number to ensure the funds reach the right person.
Fill in the amount you wish to send. Be clear and precise, as this is a crucial part of the transaction.
Select the payment method. Indicate whether you are paying with cash, debit, or credit card.
Provide any additional information requested on the form, such as the purpose of the transfer or a reference number, if applicable.
Review all the information you’ve entered. Make sure everything is correct and legible.
Finally, sign and date the form at the bottom to authorize the transaction.

After completing the form, you can submit it at a Western Union location or online, depending on your chosen method. Make sure to keep a copy for your records.