Get the free Credit Card Authorization Form

This form is used by the City of Lubbock\'s Environmental Health Department to authorize charges to a credit card for services rendered. It includes fields for cardholder information, card details, and a statement of agreement regarding fees and terms of payment, including a service fee that will be applied starting March 2024.

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 merchant or service provider.
2. Fill in the cardholder's name as it appears on the credit card.
3. Enter the credit card number without any spaces or hyphens.
4. Specify the expiration date of the credit card in the required format.
5. Input the CVV code (the three or four-digit code) from the back of the card.
6. Provide the billing address associated with the credit card.
7. Indicate the amount to be authorized for the transaction.
8. Sign and date the form to confirm the authorization.
9. Submit the completed form to the merchant or service provider as instructed.

Who needs credit card authorization form?

1. Merchants or service providers who accept credit card payments.
2. Businesses that offer subscription services requiring recurring payments.
3. Freelancers or contractors who need to bill clients via credit card.
4. Organizations that handle deposits or reservations requiring advance payments.

For pdfFiller’s FAQs

How do I edit credit card authorization form straight from my smartphone?

The best way to make changes to documents on a mobile device is to use pdfFiller's apps for iOS and Android. You may get them from the Apple Store and Google Play. Learn more about the apps here. To start editing credit card authorization form, you need to install and log in to the app.

How do I edit credit card authorization form on an iOS device?

Use the pdfFiller mobile app to create, edit, and share credit card authorization form from your iOS device. Install it from the Apple Store in seconds. You can benefit from a free trial and choose a subscription that suits your needs.

How can I fill out credit card authorization form on an iOS device?

Make sure you get and install the pdfFiller iOS app. Next, open the app and log in or set up an account to use all of the solution's editing tools. If you want to open your credit card authorization form, you can upload it from your device or cloud storage, or you can type the document's URL into the box on the right. After you fill in all of the required fields in the document and eSign it, if that is required, you can save or share it with other people.

What is credit card authorization form?

A credit card authorization form is a document that allows a business to charge a customer's credit card for payment. It typically includes the cardholder's information, card details, and authorization for the transaction.

Who is required to file credit card authorization form?

Businesses or service providers that need to charge customers' credit cards for services rendered or purchases made are required to file a credit card authorization form.

How to fill out credit card authorization form?

To fill out a credit card authorization form, provide the cardholder's name, billing address, credit card number, expiration date, security code, and the amount to be charged. The cardholder must sign the form to authorize the transaction.

What is the purpose of credit card authorization form?

The purpose of a credit card authorization form is to obtain the cardholder's permission to charge their credit card for specific transactions, providing legal protection for both the merchant and the customer.

What information must be reported on credit card authorization form?

The information that must be reported on a credit card authorization form includes the cardholder's name, credit card number, expiration date, billing address, security code, transaction amount, and cardholder's signature.