Get Payment Authority Form

Completing the Payment Authority Form online is a straightforward process that allows you to make credit card payments for various fees. This guide will help you navigate each section of the form with ease, ensuring a successful submission.

Follow the steps to complete the Payment Authority Form easily.

1. Click the ‘Get Form’ button to retrieve the Payment Authority Form and open it in your browser.
2. Fill in the required fields in BLOCK letters. Begin with the amount that you wish to pay, specifying it clearly in the designated section.
3. Select your credit card type by marking either the MasterCard or Visa option.
4. Enter your credit card number in the provided field. Be sure to check for accuracy to avoid any errors during the transaction.
5. Input the expiry date of your credit card in the format shown (MM/YYYY).
6. Provide the cardholder’s name as it appears on the credit card.
7. The cardholder must sign in the designated area to authorize the payment.
8. Date the form to indicate when the authorization is taking place.
9. Fill in your license number and the name of the premises associated with the payment.
10. Include your contact phone number in case further communication is necessary.
11. Clearly state the purpose of the payment in the relevant field.
12. After completing the form, ensure to save your changes. You can also download, print, or share the form as needed.

Complete your Payment Authority Form online today for a seamless transaction experience.