Get Card Account & Authorisation Disclosure Form - American Express

Filling out the Card Account & Authorisation Disclosure Form for American Express is a straightforward process that allows users to grant a third party access to their account. This guide will help you navigate each section of the form online, ensuring that you complete it accurately and efficiently.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the product type you are authorizing access for by ticking the appropriate box: Green, Gold, Platinum, Centurion, or Other.
3. Indicate the type of authorisation being granted. You can choose from third party account access, travel, membership rewards redemption, or concierge.
4. Fill in your account number(s) where indicated. This is essential for identifying your specific account with American Express.
5. Provide your name, address, and telephone number in the designated fields to confirm your identity as the Card Member.
6. Sign and date the form where required. Your signature authorizes the nominated person to act on your behalf.
7. In the nominee details section, enter the nominee's name, relationship to you, date of birth, address, and telephone number.
8. Ensure that a password is created for the nominee, providing an additional layer of security to prevent unauthorized access.
9. The nominee must also sign and date the form, confirming their acceptance of this authorisation.
10. Review all information for accuracy. Once verified, you can save your changes, download, print, or share the completed form.

Complete your Card Account & Authorisation Disclosure Form online today for a hassle-free experience.