Get Authorization To Withdraw Funds Credit Card Account Form - Dcwa

This guide aims to provide clear and comprehensive instructions for completing the Authorization To Withdraw Funds Credit Card Account Form - Dcwa online. Following these steps will ensure that you correctly submit your information for processing.

Follow the steps to complete your form efficiently.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Identify the card type you wish to use for the withdrawal, and circle either Visa, MasterCard, or Discover to indicate your choice.
3. In the 'Name on Credit Card' field, enter the name as it appears on your credit card for identification purposes.
4. Fill in the 'Card Number' field with the 16-digit number found on your credit card.
5. Provide the 'Card Expiration Date' by indicating the month and year located on the front of your card.
6. Enter the '3-Digit Security Code' which can be found on the back of your credit card.
7. Input the 'Cardholder’s Phone Number' in the designated field for any necessary communication.
8. Fill in the 'Billing Account Number' as per your account statement, ensuring accuracy.
9. Provide the 'Billing Account Name' which should match with the billing account you are drawing from.
10. Complete the 'Service Address' section with your current service address, including the city and state.
11. Sign the form in the 'Signature of Account Holder' section and include the date next to your signature.
12. State the 'Date of Withdrawal' which should be mentioned as one day prior to your bill due date.
13. Indicate the 'Frequency of Withdrawal' by selecting 'Monthly' for the recurring payment setup.
14. Finally, enter the 'Amount of Withdrawal,' which consists of the total bill amount due plus a convenience fee of $3.95.
15. Once you have carefully completed all the fields, save your changes, and consider downloading, printing, or sharing the form as required.

Complete your Authorization To Withdraw Funds Credit Card Account Form - Dcwa online today for a seamless transition.