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    Money Claim

    Uploaded by

    alexander ongkiatco
    1. The document is a money order customer request form for Western Union Financial Services. 2. It instructs customers to complete the form and include proof of purchase and a $15 processing fee to request a refund if a money order was not cashed. 3. The customer must sign to authorize Western Union to stop payment on the money order and hold them harmless if it is refunded.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Money Claim

    Uploaded by

    alexander ongkiatco
    210 views1 page
    1. The document is a money order customer request form for Western Union Financial Services. 2. It instructs customers to complete the form and include proof of purchase and a $15 processing fee to request a refund if a money order was not cashed. 3. The customer must sign to authorize Western Union to stop payment on the money order and hold them harmless if it is refunded.

    Original Description:

    Tsukete

    Original Title

    Money claim

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    1. The document is a money order customer request form for Western Union Financial Services. 2. It instructs customers to complete the form and include proof of purchase and a $15 processing fee to request a refund if a money order was not cashed. 3. The customer must sign to authorize Western Union to stop payment on the money order and hold them harmless if it is refunded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    210 views1 page

    Money Claim

    Uploaded by

    alexander ongkiatco
    1. The document is a money order customer request form for Western Union Financial Services. 2. It instructs customers to complete the form and include proof of purchase and a $15 processing fee to request a refund if a money order was not cashed. 3. The customer must sign to authorize Western Union to stop payment on the money order and hold them harmless if it is refunded.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    MONEY ORDER CUSTOMER REQUEST

    Please Mail This Form To: Western Union Financial Services Inc. P. O. Box 7030, Englewood, CO 80155 – 7030 1-800-999-9660
    Instructions:
    1. This request is to be completed and signed by the purchaser only. This is not an 4. If the Money Order has cashed, a photocopy of the cashed Money Order will be mailed to you.
    automatic stop payment. A stop payment is placed on the original Money Order when refund
    is made. 5. NOTICE: Issuer may deduct applicable fees from your refund if the Money Order has not cashed
    and the required fee is not enclosed with your request. A photocopy of the cashed Money Order will
    2. Proof of purchase must accompany this request. The original of either of the following is not be processed until $15.00 processing fee is received.
    acceptable: a) Money Order receipt; or b) actual Money Order. Please retain a copy of all
    documents you send for your records. If you do not have the Money Order receipt please 6. Please allow 30 days for processing. ALL requests for information must be in writing. Incomplete
    complete a Money Order Research Request form. The form may be obtained by calling 1- or unsigned customer requests will not be processed.
    800 -999-9660 or at www.westernunion.com.

    3. Enclose $15.00 non-refundable processing fee for each request. A separate request form
    is required for each item being researched. Except as noted below in item 5, requests will
    not be processed until the $15.00 processing fee is received. This non-refundable fee may
    change.

    Money Order # Amount $ Date Purchased


    Money Order was purchased by:
    Money Order was Payable To (name)
    Purchaser’s name First Last

    Money Order was Purchased at (name and address)


    Mailing Address Apt#

    City State Zip

    Phone Number:
    Reason for Request
    1. Lost 2. Stolen 3. Not-used
    “To induce the Issuer to refund to me the face amount of the above Money Order and in
    consideration of that payment, I authorize the Issuer to stop payment on this Money Order, and 4. Not received 5. Destroyed
    agree to reimburse The Issuer for this refund and to hold the Issuer harmless against any and all/or
    liability to which it may be subject by reason of this refund to me, by reason of my alleged loss of
    Money Order, or by reason of the negotiation of the Money Order.”

    PURCHASER SIGN HERE (IN INK); X DATE:

    OFMMO 1773 (R-07/09) BEFORE MAILING, BE SURE THAT THIS FORM HAS BEEN SIGNED BY THE PURCHASER.

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