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Blank Western Union Form

The Western Union form is a document used to initiate various services provided by Western Union, such as money transfers and bill payments. By accurately completing this form, individuals can ensure their transactions are processed smoothly and efficiently. Understanding the details of this form is crucial for anyone looking to utilize Western Union’s services.

Contents

Sending money across the globe has never been easier, thanks to services like Western Union. Whether you're helping a family member in need or conducting international business, the Western Union form plays a crucial role in facilitating secure transactions. This form is designed to gather essential information from both the sender and the receiver, ensuring that funds reach their intended destination without any hiccups. Key aspects include personal details like names, addresses, and contact information, along with transaction-specific data, such as the amount being sent and the payment method. Additionally, the form ensures compliance with regulations and aids in tracking the money transfer, providing peace of mind for everyone involved in the transaction. Familiarizing yourself with this form not only streamlines the sending process but also enhances your understanding of how international money transfers work.

Sample - 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

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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

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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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Form Information

Fact Name	Detail
Name of the Form	Western Union Money Transfer Form
Purpose	This form is used to send money to recipients via Western Union.
Governing Laws	U.S. Federal Regulations (specific state laws may apply, such as California Money Transmission Act)
Fields Required	Sender's information, recipient's information, amount of money, payment method, and transaction details.
Availability	The form is available online and at Western Union locations nationwide.
Delivery Options	Funds can be delivered in cash, bank deposit, or mobile wallet, depending on the service chosen.

Detailed Guide for Filling Out Western Union

Filling out the Western Union form is a straightforward process that ensures your transaction proceeds smoothly. This guide will help you navigate through the required fields, making it easier for you to send or receive funds.

Begin by collecting all necessary information, including the sender's and receiver's details.
Locate the section labeled "Sender Information." Enter the sender's full name, address, and contact number.
Proceed to the "Receiver Information" section. Fill in the receiver's full name, address, and contact number.
Look for the area designated for "Transfer Amount." Input the total amount of money to be sent.
In the next section, provide any additional information requested, such as the purpose of the transaction.
Review the form to ensure all information is accurate and complete. Mistakes can lead to delays.
Once everything checks out, sign and date the form as instructed.
Submit the completed form along with any required identification or documents to the Western Union agent.

Following these steps will help you efficiently complete the Western Union form, setting the stage for a successful transaction ahead.

Obtain Answers on Western Union

What is the Western Union form?

The Western Union form is a document that you need to fill out when you want to send or receive money through Western Union. This form collects essential information such as the sender's details, recipient's information, and the amount being transferred. It helps ensure the transaction is processed correctly and securely.
How do I fill out the Western Union form?

Filling out the form is straightforward. Start by providing your full name, address, and phone number. Then, enter the recipient’s details, including their name, address, and phone number. Don’t forget to specify the amount of money you are sending, as well as any additional services, such as tracking or delivery options. Always double-check your entries for accuracy.
Where can I obtain the Western Union form?

You can find the Western Union form at various locations. It is available at Western Union agents, kiosks, and retail partners. Additionally, you may also download it from the Western Union website or use an online transfer service where the form may be integrated into the process.
Do I need any identification to submit the form?

Yes, you will typically need to present a valid government-issued ID when submitting the form. This helps verify your identity and prevents fraud. Acceptable forms of ID include a driver's license, passport, or any other recognized identification.
What should I do if I make a mistake on the form?

If you notice a mistake after filling out the form, it’s important to correct it before submitting. You can either cross out the error and write the correct information above it or request a new form. Accuracy is crucial for processing your transaction without any delays.
How long does it take for the money to arrive?

The time it takes for money to arrive varies based on several factors, including the destination and the chosen service. Generally, some transfers can be completed in minutes, while others, especially international transactions, may take a bit longer. Always check the expected delivery times associated with your selected method when filling out the form.
What happens if I lose the receipt after completing the form?

Losing your receipt can be problematic, as it serves as proof of your transaction. If you misplaced it, contact Western Union immediately. They may require specific information, like the transaction details, to help you track it down or verify the transfer.
Are there any fees associated with using the Western Union form?

Yes, sending money through Western Union usually incurs fees. The total fee depends on factors like the amount sent, the destination, and the service type chosen. These fees are disclosed before completing your transaction, allowing you to understand the costs involved.

Common mistakes

Many people rely on Western Union for transferring money, but filling out the form incorrectly can lead to delays and frustrations. One common mistake is not verifying the recipient's name. The name on the form must match the name on the recipient's identification exactly. If there's a small error, such as a missing middle initial or a different spelling, the transfer may not be processed. Double-checking this detail can save a lot of time.

Another frequent issue occurs with the amount being sent. People sometimes miscalculate or enter the wrong currency. It's essential to enter the amount in the correct currency format, especially if you are sending money internationally. Missing a conversion step can lead to unexpected fees or results in the recipient receiving less than intended. Always confirm the amount and the currency before finalizing the transaction.

In addition to errors with names and amounts, many individuals overlook the importance of providing accurate contact information. If Western Union encounters any problems with the transfer, they will need a way to reach you. Ensure that your phone number and email address are correct and current. This helps to address any issues quickly and keeps both sender and recipient informed.

Lastly, people often forget to check the fine print regarding fees and service policies. Different service levels might carry different charges. Not being aware of these fees can lead to confusion when the recipient receives less than expected. Familiarizing yourself with the cost structure before sending money ensures a smoother transaction, leaving everyone satisfied in the end.

Documents used along the form

The Western Union form is commonly used for sending or receiving money transfers. It often accompanies several other documents, which help to facilitate the transaction and may be required for verification or record-keeping purposes. Below is a list of forms and documents that may be used in conjunction with the Western Union form.

Identification Document: This is usually a government-issued ID, like a driver's license or passport. It verifies the identity of the sender or receiver during the transfer process.
Money Transfer Receipt: A receipt provided by Western Union that summarizes the details of the transaction, including the amount sent, fees, and transaction number. This document serves as proof of the transaction.
Sender's Information Form: A form that gathers personal details about the sender. It typically requires information such as name, address, and contact number, which helps to confirm legitimacy.
Receiver's Information Form: Similar to the sender's form, this document collects information about the recipient. It includes essentials like the name and address of the person receiving the funds.
Currency Exchange Form: If the transaction involves currency conversion, this form outlines the exchange rates and fees. It ensures transparency regarding how much will be received in a different currency.
Customer Feedback Form: Western Union may provide this optional document after the transaction. Recipients can share their experiences and insights about the service, which can be valuable for the company’s improvements.

Understanding these accompanying documents is essential for ensuring a smooth transaction experience. Each plays a specific role in supporting the process and providing necessary information to all parties involved.

Similar forms

Money Transfer Receipt: Similar to a Western Union form, this document provides proof of a money transfer transaction. It includes details like the sender's name, receiver's information, amount transferred, and transaction ID, ensuring both parties confirm the transaction details.
Wire Transfer Form: This form is used when sending money electronically between banks. Like the Western Union form, it captures essential information, including sender and recipient details, amounts, and the bank's routing and account numbers, facilitating a clear record of the transaction.
Money Order Receipt: A money order receipt serves as a record of payment made via a money order. It contains similar data, such as the sender and recipient information and the amount, providing assurance that the funds have been sent securely.
Payment Confirmation Document: This document confirms the processing of a payment, whether through online platforms or physical methods. It shows the transaction amount, parties involved, and date, reflecting the same transparency and accountability found in a Western Union form.

Dos and Don'ts

When filling out the Western Union form, it's important to be mindful of the following dos and don'ts to ensure a smooth process.

Do double-check all the information you provide to avoid any mistakes.
Do ensure that the names and addresses match official documents.
Don't leave any required fields blank; this can cause delays in processing.
Don't use nicknames or abbreviations; use full legal names.

Misconceptions

Misconceptions about the Western Union form can lead to confusion for users. It is important to clarify these misconceptions to ensure a smooth transaction experience.

Misconception 1: The form is only for international transfers.

This is not true. While many people use Western Union for international money transfers, the form can also be used for domestic transactions within the United States.

Misconception 2: You must fill out the entire form every time.

Some may believe that all fields on the form are mandatory for each transaction. In fact, certain sections may be optional depending on the specifics of the transfer.

Misconception 3: You need a bank account to use the form.

This is a common misunderstanding. Users can submit the form and make transfers without having a bank account, as cash options are often available.

Misconception 4: The form is only for personal use.

The Western Union form can be utilized by both individuals and businesses. Companies often use it for sending payments or making transactions for various purposes.

Misconception 5: Filling out the form incorrectly means the transaction will be canceled.

An incorrectly filled form may cause delays, but it does not automatically result in cancellation. The staff usually works to assist users in correcting any issues.

Misconception 6: You cannot track your transfer if you use the form.

Contrary to this belief, tracking options are available. Once a transaction is processed, users receive a tracking number to monitor the status of their transfer.

Key takeaways

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

Double-check all personal information, including your name and address, to ensure accurate processing.
Provide correct payment details to avoid delays or issues with your transaction.
Verify the recipient's information, including their name and location, for successful fund transfer.
Keep a copy of the completed form for your records. It can be useful for tracking purposes.
Be mindful of the fees associated with your transaction. They can vary based on the amount and destination.
Follow all instructions on the form carefully. Missing steps can lead to complications with your transfer.

By paying attention to these points, you can help ensure a smooth transaction experience with Western Union.

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