U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

ACH International Wire Transfer Form

June 10, 2026
Resource type
Forms

Change Log: 

June 10, 2026:

  • Section 1 is now fillable
  • Clarifying instruction that the form may be completed on a computer, but must then be printed and signed by hand
  • Added the document type to choose when uploading the form to the online claim

November 15, 2022: Added text stating that form can be uploaded.

Associated document(s)
Topics
Compensation and Payment