Get the free Credit Card Authorization Form

This form is required by the Gwinnett County Department of Water Resources for authorization of credit card transactions over $400. It must be completed, signed, and faxed to authorize charges.

How to fill out credit card authorization form

How to fill out Credit Card Authorization Form

1. Obtain a Credit Card Authorization Form from the service provider.
2. Fill in the cardholder's name as it appears on the credit card.
3. Provide the credit card number with no spaces or dashes.
4. Enter the expiration date of the credit card.
5. Include the security code (CVV) found on the back of the card.
6. Specify the amount to be charged and the purpose of the charge.
7. Add the cardholder's billing address including city, state, and zip code.
8. Ensure the cardholder signs and dates the form to authorize the payment.
9. Submit the completed form to the appropriate department or service provider.

Who needs Credit Card Authorization Form?

1. Businesses or service providers that accept credit card payments.
2. Merchants who require customer authorization for recurring payments.
3. Companies conducting transactions via phone or mail where the cardholder is not present.
4. Any organization that processes payments on behalf of another party.

People Also Ask about

How to write a credit card authorization form?

The information on such a form must include: Cardholder's name. Card number. Card network (Visa, Mastercard, American Express, Discover, etc.) Card expiration date. Cardholder's billing zip code. Business name. Statement authorizing charges. Cardholder's signature and the date they signed.

How do I write an authorization letter for a credit card?

How Do I Write a Credit Card Authorization Letter? Your full name. Your contact information. The date. Your credit card information and billing address (exclude the CVV code) The amount you are authorizing. The reason for the authorization (be specific!) The business or institution that is authorized to use it.

Why do I need to fill out a credit card authorization form?

PCI DSS requirement 4.2 states that credit card information must not be captured, transmitted, or stored via email.

Is it safe to fill out a credit card authorization form?

Credit card authorization forms and security Before completing a card authorization form, make sure you're aware of the security risks of sharing your information this way. Both physical and digital forms have disadvantages relating to security, so it's crucial to be mindful of them.

Is a credit card authorization form safe?

A credit card authorization form is used to obtain permission from a cardholder to charge their credit card for goods or services. This form is typically used in situations where the cardholder is not physically present.

Is it OK to send credit card authorization form over email?

It's usually safer to apply for a credit card online if you're on a credit card issuer's official website and using a secure internet connection. Some credit card issuers have stringent security measures designed to help protect applicants' personal information.

How do I give someone permission to use my credit card?

How to add or become an authorized user on a credit card. Account holders can often add authorized users by signing into their account online or through an app. If you're interested in becoming an authorized user, consider asking a trusted friend or family member to see if they're willing and what options are available

For pdfFiller’s FAQs

What is Credit Card Authorization Form?

A Credit Card Authorization Form is a document that allows a company to charge a customer's credit card for a specified amount and period of time.

Who is required to file Credit Card Authorization Form?

Typically, businesses that need to process credit card transactions for services or products rendered require this form from their customers.

How to fill out Credit Card Authorization Form?

To fill out a Credit Card Authorization Form, enter the cardholder's name, card number, expiration date, billing address, and the amount to be charged, and then sign and date the form.

What is the purpose of Credit Card Authorization Form?

The purpose of the Credit Card Authorization Form is to obtain consent from the cardholder to charge their credit card and to provide a record of such authorization for both parties.

What information must be reported on Credit Card Authorization Form?

The form must include the cardholder's name, credit card number, expiration date, billing address, the amount authorized for payment, and the cardholder's signature.