Get Dol Recurring Debit Form

This guide provides clear and supportive instructions on how to complete the Dol Recurring Debit Form online. By following these steps, you will be able to authorize the Oregon Judicial Department to make recurring charges to your credit or debit card with confidence.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to obtain the Dol Recurring Debit Form and open it for editing.
2. In the first field, enter the case name associated with your account. This ensures that your payment is linked to the correct case.
3. Next, fill in your case number or account number. This information is crucial for proper identification of your account.
4. Provide your email address to receive confirmations and important updates regarding your payments.
5. Enter the date on which you are completing the form to establish the context of your submission.
6. Input your phone number for contact purposes, should any issues arise with your payments.
7. Sign the form in the designated area to authorize the recurring payments.
8. Select the type of card you will use for payments, choosing either Visa or MasterCard.
9. Specify the amount you wish to charge per cycle in the ‘Charge Amount’ section.
10. Select the frequency of the charges: semi-monthly, monthly, or other. Ensure your choices clearly reflect your intended payment schedule.
11. If applicable, indicate the duration for which you want the recurring charges to last.
12. Fill in the cardholder's name exactly as it appears on your credit or debit card.
13. Complete the cardholder's billing address, ensuring all details are accurate and complete.
14. Sign and date the form again in the cardholder’s signature section to validate the document.
15. Finally, enter the card number and expiration date. Review all fields for accuracy before submission.

Complete your Dol Recurring Debit Form online today!