Get Credit Card Payment Form - Aafmaa

Filling out the Credit Card Payment Form - AAFMAA is a straightforward process that allows users to authorize payments via VISA or MasterCard securely. This guide provides clear step-by-step instructions to help you complete the form with ease.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin with the 'Insured' section. Enter your name as Last, First, and Middle Initial. Then, input your Social Security Number, email address, and phone number, specifying whether it is for cell, home, or work.
3. Proceed to the 'Cardholder' section. Here, enter the name as it appears on the credit card, along with your mailing address. Select the card type (VISA or MasterCard), and provide the card number and expiration date in the specified format (mm/yyyy).
4. Move to the 'Payment' section, where you will list each allocation on a separate line. Identify the policy number (or CN and issue date), and detail how you want the funds allocated, indicating amounts if known. Check the relevant boxes for frequency and type of payment, such as monthly, quarterly, or whether it's a one-time or recurring charge.
5. Complete the 'Signature' section. The cardholder must sign to authorize AAFMAA to charge the provided credit card for the listed payments. Ensure to enter the date of signing in the format (mm/dd/yyyy). This section also includes a space for office use, where the employee can note any verbal authorization.
6. After filling out all sections, review your entries for accuracy. Once satisfied, save your changes, download the completed form, print a hard copy, or share it as needed.

Complete your documents online for a streamlined experience.