Money Order Research Request Form - Western Union
Download a blank fillable Money Order Research Request Form - Western Union in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Money Order Research Request Form - Western Union with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Western Union Financial Services, Inc.
PO Box 7030
Englewood, Colorado 80155-7030
1-800-999-9660
MONEY ORDER RESEARCH REQUEST
This form must be completed by the Purchaser if the original bottom portion/receipt with barcode has been misplaced, lost, or
stolen. A separate form is required for each Money Order.
You must include with this form a $30.00 non-refundable administrative fee (Money Order or check only, payable to Western
Union Financial Services, Inc.). To avoid delays in the research process all supporting documents requested below should be
enclosed if available.
If you are the Purchaser and have your original receipt from the bottom of the Money Order, or the original Money Order, you do
not have to use this form. Please complete and sign the Money Order Tracing/Refund request (located on the back of the
Money Order Receipt).
Money Order Purchaser Information:
Name: _________________________________________
Daytime Phone Number: (
)
Address:____________________________________________________________________________________________
City:___________________________________ State:_________________________________ Zip:_________________
No
Yes
Are you requesting on behalf of a Company?
If YES,______________________________________________________________________________________________
(Full Legal Company Name)
Money Order Information:
Money Order number (11 digits) if known:
Exact Amount
Date of Purchase
Time of Purchase
(approximate or exact if known)
(approximate or exact if known)
$
/
/
Month
Day
Year
Yes
No
Did you enter the name of the payee on the "Pay to the Order of" line?
If YES, please provide Payee name________________________________________________________________________
Yes
No
Did you sign your name on the "Purchaser" line?
Location where Money Order was purchased:
Name of Location/Agent name: _____________________________________Agent number (if known):_______________
Address:____________________________________________________________________________________________
City:___________________________________ State:_____________________ Zip (if known):____________________
Additional information:
Yes
No
Did you purchase this Money Order at the same time as another?
If YES, (1) Please provide the Money Order Number for each Money Order purchased (if known):
___________________________________________________________________________________________________
(2) Please enclose copies of these Money Orders or copies of their receipts (bottom parts with barcode) if available.
Page 1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business