The Western Union form is a document used to facilitate money transfers through the Western Union service. This simple yet essential form helps individuals and businesses send and receive funds securely and efficiently. If you’re ready to make a transfer, fill out the form by clicking the button below.
When navigating international and domestic money transfers, the Western Union form plays a crucial role in facilitating transactions. This form captures essential information, such as the sender's and receiver's names, addresses, and the amount of money being sent. Each section is designed to ensure that the transfer process is as seamless and secure as possible. Additionally, the form may include fields for tracking numbers, service selection, and payment methods, which provides clarity and accountability to both parties involved. Completing the form accurately is vital; even minor errors can lead to delays or complications in the transfer process. Furthermore, understanding the terms and conditions associated with the form can help users make informed decisions about their financial transactions. Overall, the Western Union form is not just a document; it is a gateway to efficient financial exchanges across borders and communities.
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
or
Western Union Customer Number
Address (Post office box addresses are not permitted)
Suburb
State
Postcode
Country of Citizenship (must have)
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
$
Payout Amount at Destination
Complete one only.
(AUD)
I want the money sent
Bank Name
Bank Code / BIC
direct to a Bank Account
Account Name
Bank Location (City)
Account Number / IBAN
I want the money sent to a mobile
Country Code
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.
Current Address
(Post office box addresses are not permitted)
City / Suburb
State / Province
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
Sender’s
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
Staff Name
Staff Signature
Receipt to this copy
Office copy
8839661 • Oct 2017
Fanapart glue
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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).
Western Union Financial Services, Inc., P.O. Box Q1522, QVB Post Office Sydney, NSW 1230. Copyright 2011-2015 WESTERN UNION HOLDINGS, INC. All Rights Reserved. Revised October 2015.
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P417U
Payout Amount Destination
Attach Transaction Receipt
to this copy
Customer copy
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Filling out the Western Union form is straightforward and ensures that your transaction is processed smoothly. Follow these steps carefully to provide the required information without any complications.
What is the Western Union form used for?
The Western Union form is primarily used to send and receive money through the Western Union payment service. It helps customers provide necessary details, ensuring the transaction is secure and efficient. This form can also be used for money order purchases and related services.
How do I fill out the Western Union form?
To fill out the form, start by providing your personal details such as name, address, and contact information. Next, include the recipient’s information, including their name and location. Then, specify the amount of money to send. Make sure to double-check the details to avoid any errors that could delay the transaction.
Where can I get a Western Union form?
You can obtain a Western Union form at any Western Union agent location. Many grocery stores, convenience stores, and banks offer these forms. You can also find the form on the official Western Union website, allowing you to print it from the comfort of your home.
Do I need to provide identification when using the Western Union form?
Yes, identification is often required when sending money. You may need to show a government-issued ID, especially for larger transactions. This step helps protect you and the recipient from fraud.
What happens if I make a mistake on the Western Union form?
If you make a mistake, it’s crucial to correct it before submitting the form. You can either cross out the error and write the correct information or request a new form from the agent. Make sure all details are accurate to prevent issues with the transaction.
Can I track my money transfer using the Western Union form?
Yes, once you complete the form and submit it, you will receive a tracking number. You can use this number to track your transfer online or by calling Western Union customer service. Tracking allows you to know when the recipient receives the money.
What should I do if my transfer doesn’t go through?
If your transfer fails, first check your receipt for any information or messages. You can also visit the location where you sent money or contact Western Union’s customer service. They will assist you in resolving the issue and understanding the next steps.
Completing the Western Union form can seem straightforward, but many individuals make common errors that can lead to delays or complications in processing. One mistake that frequently occurs is providing incorrect sender or receiver information. This includes misspelled names or wrong addresses. Even a small discrepancy can cause significant issues, potentially preventing the transfer from being completed.
Another frequent error involves selecting the wrong payment option. Users may not pay close attention to the specific payment methods available, such as credit card or cash. Choosing an incorrect option can lead to unexpected fees or, in some cases, the rejection of the transfer itself. It's essential for individuals to carefully review their choices to ensure they select the appropriate method.
People also often overlook the required identification documentation. When sending or receiving money, certain forms of ID may be necessary to verify identity. Failing to provide the necessary identification can result in delays or a complete halt in the transaction process. It's crucial to check the specific requirements before submitting the form.
Finally, many fail to check the transaction details before submission. After filling out the entirety of the form, reviewing the entered information is vital. Double-checking the details, like the amount and currency, helps catch any errors that might disrupt the transaction. Submitting the form without thorough verification may lead to unnecessary frustrations and complications down the line.
When using the Western Union form for money transfers, there are several other documents and forms that may be necessary to ensure the transaction is completed smoothly. Each of these documents plays a specific role in the transfer process, aiding in verification and compliance. Below is a list of commonly used forms alongside the Western Union form.
Having these documents ready can greatly facilitate the money transfer process through Western Union. It is advisable to review specific requirements depending on your location and transaction type, ensuring all necessary paperwork is in order.
MoneyGram Form: This document serves a similar purpose, allowing individuals to send money across different locations. Like the Western Union form, it captures sender and recipient information and transaction details to ensure accuracy and security.
PayPal Transaction Receipt: Both documents facilitate electronic money transfers. PayPal receipts outline transaction specifics, including amounts and parties involved, mirroring the clarity and tracking features found in Western Union forms.
Bank Wire Transfer Request: Comparable to the Western Union form, this request is used to transfer funds from one bank account to another. It requires sender and recipient information, along with any necessary routing details.
Venmo Payment Confirmation: Like the Western Union form, Venmo documents confirm transactions between individuals. Both illustrate who sent the money, who received it, and the amount transferred.
Western Union Money Order: This is a financial instrument used for safely sending money. The process is akin to the Western Union form, as both require information to ensure the secure delivery of funds.
Check Payment Stub: Just as checks require details about the payor and payee, the Western Union form collects similar information to facilitate the proper handling of transactions.
TransferWise Receipt: This document confirms international transfers, much like the Western Union form. Both highlight the sender and recipient, transaction amounts, and reference numbers for tracking purposes.
Gift Card Purchase Receipt: When purchasing a gift card, similar aspects arise, as these receipts detail the sender's information and value, paralleling the details found in a typical Western Union transaction.
Digital Wallet Statement: Digital wallets encompass a range of transactions, closely resembling the Western Union form in detailing transfers and providing records of sender and receiver identities.
Cryptocurrency Transfer Confirmation: When transferring cryptocurrency, the confirmation document shares features with the Western Union form, as both convey critical transaction information, including sender, receiver, and amount exchanged.
When filling out the Western Union form, following best practices can make the process smoother. Here’s a list of nine things to keep in mind:
Attention to these details can help avoid potential issues and ensure that your transaction proceeds without complications.
Misconceptions about the Western Union form can lead to confusion and mistakes when sending money. Here are eight common misconceptions and clarifications to help clear up any misunderstandings:
This is not true. The form can be used for domestic transfers as well. You can send money within the United States and to several international locations.
While you can fill out the form in person at a Western Union location, you also have the option to complete it online. This convenience allows for greater flexibility.
Many people assume the form is difficult to understand, but it is quite straightforward. Key information is clearly outlined, making it easy to complete.
This is misleading. There are different forms for various types of services, such as money transfers and bill payments. Each serves a specific function.
This is incorrect. If you notice an error after submitting, you can contact customer service to request changes, depending on the situation.
In fact, once you complete the form and submit your transaction, you receive a tracking number. This helps you monitor the status of your transfer.
While there may be fees associated with certain transactions, they vary based on amounts and locations. It's important to check fees for your specific transaction.
This is a misconception. Many Western Union services allow cash payments, so you do not necessarily need a bank account to use the service.
Understanding these misconceptions can help you navigate the Western Union system more effectively and avoid potential pitfalls.
Filling out and using the Western Union form correctly can enhance your money transfer experience. Here are some key takeaways:
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