Get Records Request Credit Card Authorization - Courts State Co

Completing the Records Request Credit Card Authorization form is a straightforward process that allows you to authorize the payment for records requested from the Courts State Co. This guide provides step-by-step instructions to ensure that you fill out the form correctly and efficiently.

Follow the steps to complete your record request authorization online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the card holder’s name in the designated field. Ensure that the name matches the name on the credit card being used.
3. Fill in the card holder’s address accurately. This should be the billing address associated with the credit card.
4. Provide the card holder’s phone number in the required space. This number may be used for any necessary follow-ups.
5. Enter the credit card number in the appropriate field. Double-check this number for accuracy to avoid any payment issues.
6. Fill in the last three digits from the code located on the back of the credit card to verify the card.
7. Select the credit card type by checking the appropriate box for MasterCard, Visa, or Discover.
8. Indicate the credit card expiration date in the provided section, ensuring that it is current.
9. Enter the amount you authorize to be charged to your card. A maximum of $35 is suggested, but you will only be charged the actual cost.
10. Sign in the designated area to authorize the charges. This step is crucial; without your signature, the form will be invalid.
11. Include the date on which you are filling out the form for recordkeeping.
12. If needed, note the initials of the clerk who processes your request.
13. Review the completed form for accuracy, then proceed to save changes, download, print, or share the form as required.

Ready to submit your records request? Fill out your documents online today!