Fill in a Valid Western Union Template

The Western Union form is a document used to facilitate money transfers, allowing individuals to send funds across various locations. This form helps ensure that the transaction process is smooth and secure for all parties involved. If you are ready to make a money transfer, fill out the form by clicking the button below.

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The Western Union form is a crucial document that serves as a means for individuals and businesses to send and receive money efficiently. It typically includes essential information such as the sender's and recipient's names, addresses, and contact details. Additionally, the form requires a designated amount to be transferred, as well as a method of payment, which can vary from cash to bank transfers. Often, it also incorporates a space for a transaction reference number, helping both the sender and receiver track the transfer easily. Users will also find terms and conditions, which outline the rights and responsibilities of each party involved in the transaction. Understanding the details of this form not only facilitates smoother transactions but also ensures that individuals are aware of the various fees and requirements associated with using Western Union’s services. By taking the time to fill out the form correctly, participants can avoid potential delays or issues, making the money transfer process more streamlined and reliable.

Western Union Example

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

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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

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Click for Western Union File

File Breakdown

Fact Name	Description
Form Purpose	The Western Union form is used for sending or receiving money transfers through their services.
Identification	Customers need to provide valid identification, such as a driver's license or passport, to fill out the form correctly.
Fees	Each transaction on the form incurs a fee, which varies based on the amount sent and destination.
Currency Types	Users can send money in various currencies, depending on the receiving country's preferences.
Tracking Information	The form includes a unique tracking number, allowing customers to track their money transfers easily.
Cancellation Policy	Transactions can often be canceled if the recipient has not yet picked up the funds.
State-Specific Forms	Some states may require additional forms or information; always check the specific state's regulations.
Compliance	Western Union complies with federal and state laws regarding money transfers and anti-money laundering regulations.
Privacy	Personal information collected on the form is used solely for transaction purposes and is protected under privacy laws.
Customer Service	Support is available for form-related inquiries, with various resources accessible online and at physical locations.

Guide to Using Western Union

Filling out the Western Union form is necessary for making a money transfer. The process is straightforward, but it’s important to provide accurate information. This ensures that the transaction goes smoothly and reaches the intended recipient without issues.

Begin by locating the form. You can typically find it at a Western Union location or on their official website.
Carefully read any instructions provided at the top of the form.
Enter the sender’s information. This includes your full name, address, and phone number.
Provide the recipient’s details. Include their full name, address, and contact number.
Specify the amount of money you wish to send. Ensure that you check the current exchange rates if applicable.
Select the delivery method. Depending on the options available, you might choose in-person pickup, mobile transfer, or other methods.
Fill in any additional required fields. This may involve indicating the purpose of the transaction or any identification requirements.
Review all the information entered. Double-check for accuracy to prevent potential delays.
Sign and date the form at the designated area to confirm your authorization of the payment.
Submit the form along with the payment. Keep your receipt for tracking purposes.

Get Answers on Western Union

What is the Western Union form used for?

The Western Union form is primarily used for sending and receiving money transfers, making it easier to provide financial support to family and friends, pay for services, or handle other transactions. This form collects essential information about the sender and recipient, ensuring that funds are delivered securely and efficiently.

How do I fill out the Western Union form?

Filling out the Western Union form requires several key steps:

Begin by entering the sender’s full name and contact information.
Next, provide details about the recipient, including their name and payment method preferences.
Specify the amount to be sent and the currency in which the transaction will occur.
Review the terms and conditions, then sign and date the form to finalize the transaction.

Always double-check the information for accuracy to avoid delays or complications in the transfer process.

Where can I get the Western Union form?

The Western Union form can be obtained online or at any Western Union agent location. Many retailers and financial institutions also offer these forms, allowing you to complete your transaction conveniently.

What information do I need to provide on the form?

To complete the Western Union form, you will need to include:

Your full name and address
Recipient’s full name and address
The amount of money you wish to send
The sender and recipient’s identification details
Your contact information
Any additional information required for the transfer

This information ensures that the transaction goes smoothly and that funds reach the intended recipient without issues.

Is there a fee associated with using the Western Union form?

Yes, using the Western Union form typically involves a fee. The fees can vary based on factors such as the amount being sent, the destination, and the payment method used. It is advisable to check the fee structure on the Western Union website or at your local agent location before proceeding with your transfer.

Can I track my money transfer using the Western Union form?

Absolutely! Once you complete the form and send money, you will receive a tracking number. This unique number allows you to monitor the status of your transfer online or via customer service. Tracking provides peace of mind, ensuring you know when your funds have been successfully delivered to the recipient.

What should I do if there is an error on the Western Union form?

If you notice an error after submitting the Western Union form, contact Western Union customer service immediately. Depending on the nature of the mistake, they may be able to assist you in correcting it before the transaction is completed. Timeliness is key; addressing issues promptly helps prevent complications.

Can I use the Western Union form for international transfers?

Yes, the Western Union form can be used for both domestic and international money transfers. However, keep in mind that different countries may have varying regulations and fees associated with receiving funds. Always check the destination country’s regulations to ensure compliance and smooth transactions.

What identification do I need to send money using the Western Union form?

Typically, you will need to present a valid form of identification when sending money. Acceptable forms may include a driver’s license, passport, or other government-issued ID. Identification is crucial for verifying your identity, helping to protect both you and the recipient from fraud.

Are there any limits on the amount I can send using the Western Union form?

Yes, there are limits on the amount you can send through the Western Union form, and these limits can vary depending on several factors. These include your country of residence, the payment method used, and the recipient’s location. Checking with Western Union for specific limits before initiating a transfer is recommended.

Common mistakes

Filling out a Western Union form can seem straightforward, but many people encounter various pitfalls that can lead to delays or complications. One common mistake is providing incomplete information. For instance, omitting important details like the sender's or receiver's full name can create problems down the line. Transfers require clarity, and missing information may result in unnecessary hold-ups as personnel may need to reach out for clarification.

Another frequent error is misspelling names or addresses. When the name on the form doesn't match a government-issued ID, it can cause significant challenges. Accurate spelling is crucial. If there is a mistake in the information provided, the transaction might not proceed as planned, causing frustration for both the sender and receiver.

Some individuals overlook the significance of selecting the correct payment options. Western Union offers various methods to send money, such as bank transfers, credit cards, or cash payments. Choosing the wrong option can result in additional fees or longer waiting times. It's essential to review the options carefully before making a selection to avoid unwanted complications.

In addition, people often forget to check for required identification. Depending on the amount being sent and the destination, identification may be necessary to complete the transaction. Failing to provide proper ID can lead to delays and, in some cases, the inability to complete the transfer at all.

Lastly, a common mistake is not reviewing the terms and conditions associated with the transaction. Each transfer may come with specific guidelines and restrictions. Ignoring these details can lead to unexpected charges or failure to understand the process fully. Taking a moment to read through these terms can save time and hassle in the long run.

Documents used along the form

The Western Union form is commonly used for transferring money electronically. However, several other forms and documents may accompany this transaction to ensure compliance and streamline the process. Below is a list of such documents, detailing their purpose and function.

Identification Documents: These could include a government-issued ID or passport to verify your identity and help prevent fraud during the transaction.
Transaction Receipt: After completing a money transfer, you receive a transaction receipt that serves as proof of the transaction. Keep this for your records.
Money Transfer Agreement: This document outlines the terms and conditions of the money transfer, detailing fees and obligations on both sides.
Address Verification: Some transfers may require proof of your current address. This could be a utility bill or lease agreement showing your name and address.
Recipient Information Form: To ensure the funds reach the intended recipient, this form gathers necessary details, such as their name, address, and contact information.
Compliance Documents: Depending on the amount being transferred, additional documentation may be required to comply with regulatory standards aimed at preventing money laundering.

These forms and documents often work in conjunction with the Western Union form to facilitate secure and efficient money transfers. Being prepared with the necessary paperwork can help avoid delays and ensure a smooth transaction experience.

Similar forms

The Western Union form is used for money transfers and sharing personal information. Several other documents serve similar purposes in financial transactions or record-keeping. Here are five documents that are similar to the Western Union form:

MoneyGram Transfer Form: This form is used for money transfers through MoneyGram, a leading service in the same realm as Western Union. Like the Western Union form, it collects sender and receiver details to facilitate quick and secure money transfer.
Wire Transfer Request Form: Banks and financial institutions often use this document for wire transfers. It requires essential information about the sender, receiver, and the bank details, similar to the Western Union process.
PayPal Transfer Form: This form is utilized for money transfers between PayPal accounts. It also requests user identification and recipient details, much like Western Union, ensuring the correct funds go to the intended places.
Check Cashing Form: When someone wants to cash a check, they typically fill out a check cashing form at financial institutions. It gathers personal information and the check details. This document, like the Western Union form, aims to facilitate a financial transaction securely.
Postal Money Order Form: Issued by postal services, this form is used to create money orders—a secure payment method. It collects sender and recipient information, mirroring the purpose and function of the Western Union form.

Dos and Don'ts

When filling out the Western Union form, consider these important dos and don'ts to ensure a smooth process.

Do double-check all information for accuracy.
Don't leave any required fields blank.
Do use legible handwriting or type the form where possible.
Don't use abbreviations unless specified.
Do ensure the recipient's name matches their ID exactly.
Don't forget to provide a clear purpose for the transfer.
Do read the terms and conditions before submission.
Don't share your personal information with unauthorized individuals.
Do keep a copy of the completed form for your records.

Following these guidelines will help you successfully complete the form and avoid any complications.

Misconceptions

People often encounter various misconceptions about the Western Union form that can lead to confusion or errors in processing their transactions. Here are four common myths explained clearly.

Misconception 1: The Western Union form is only for sending money internationally.

This is incorrect. While many associate Western Union with international transfers, the form can also be used for domestic transactions. You can easily send money between states, making it versatile for both local and international needs.

Misconception 2: Only certain individuals can fill out the Western Union form.

In fact, anyone can complete the form. Whether you are a business or an individual, as long as you are of legal age and meet any required identification standards, you are eligible to use it for transactions.

Misconception 3: Completing the Western Union form is overly complicated.

While it may seem intimidating at first, the form is designed for simplicity. Most sections ask for basic information such as names, addresses, and amounts, making it user-friendly and straightforward.

Misconception 4: You must provide extensive documentation to use the Western Union form.

Generally, only minimal documentation is needed. Typically, you will be required to provide a form of identification, but extensive records or proofs are not necessary for most transfers.

Key takeaways

When filling out and using the Western Union form, consider the following key takeaways:

The form will require personal information such as your name, address, and contact details.
Provide accurate recipient information to ensure proper delivery of funds.
Choose the correct payment method as options may vary based on location.
Double-check all information before submitting to reduce the risk of errors.
Keep a copy of the completed form for your records as it may be needed for tracking transactions.
Understand the fees associated with the service, which can differ depending on the amount sent and the destination.