Wire Transfer Forms by Country:

Please download the form requesting your bank account information in the event a settlement is to be issued. Once you have completed the form(s) please submit them with the other documents that will be requested in order to complete your claim.

Legal Notice: Submission of your account information does not guarantee coverage. Claim determination will be made upon receipt of all required documentation. If you prefer, you may provide your account information when and if your claim is approved.

Note: Please allow up to 5 business days for the review of your payment instructions. Should the submission be incomplete, we will reach out to you at that time.