Payee Bank Account Information

This form is intended to collect US bank account information for transfer of funds from the Qwil Debit Card.

Basic Info:

Payee Legal Name *

Company Legal Name (if applicable)

Payee Email Address * 🛈

Payee Address * 🛈

Payee Phone Number * 🛈

Last 4 digits of SSN/EIN *

Please enter US bank account information only. If you do not have a US bank account, please contact support@qwil.com for alternatives.

Bank Name *

Bank Routing Number (9 digits) * 🛈

Bank Account Number * 🛈