Fax Wire Payment Forms

Complete the applicable form below when submitting a wire request to the CIBC Business Contact Centre via fax.

If you have received a hard copy in the mail and would like to download a soft copy, select the version below that corresponds to the Form No. located at the top right corner of the hard copy you received.

You may download and save the form for future use.

Should you have any questions, please contact your CIBC Representative or the CIBC Business Contact Centre at 1 888 947-7736. We would be pleased to assist you.

Form No. Form Name Description
10042 BCC NP CIBC Business Contact Center (Non-PPSL) Request for Wire and Interbranch Payment For all clients across Canada, excluding Quebec
10042 QBCC NP CIBC Business Contact Center (Non-PPSL) Request for Wire and Interbranch Payment For all clients in Quebec
10042 BCC PPSL CIBC Business Contact Center (PPSL) Request for Wire and Interbranch Payment For all clients whose Fax Wire Service is supported by a Payment Products Settlement Limit (PPSL)