Go. Credit card transactions may be authorized via this form. Please complete sections A, B, & C and submit via fax, mail or hand delivery DPSST will not accept a form submitted by email. DPSST does not keep credit card number information on file. A new form 508c must be submitted for each authorized payment. SECTION A: CREDIT CARD HOLDER INFORMATION 1. Name as it appears on card: 2a. Billing Address: 2b. City, State, Zip: 3a. Mailing (Shipping) Address: 3b. City, State, Zip: 4a. e-Mail.
Loading
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to use or fill out the OR Form 508c online
Filling out the OR Form 508c online is a straightforward process that involves providing necessary credit card authorization details to the Oregon Department of Public Safety Standards and Training. This guide will walk you through each section of the form ensuring that you successfully complete it.
Follow the steps to complete the OR Form 508c online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Section A requires you to fill in the credit card holder information. Start by entering the name as it appears on the card, followed by the billing address including city, state, and zip code. Next, provide a mailing address if it differs from the billing address, and include a valid email address and phone number.
- Make sure to verify the email address that you provided to ensure you receive the transaction receipt. Then, enter the printed name and signature of the authorized signer to confirm the details.
- In Section B, specify the type of payment you are authorizing by detailing the description (e.g., fee type, copies, AR#), and if known, include the name and DPSST number. Indicate the exact amount you wish to pay, being aware that incorrect amounts could delay processing.
- Section C requests your credit card number. Indicate whether you are using a VISA or MasterCard, then enter the expiration date of the card.
- Review all provided information for accuracy. Once you have confirmed that everything is correct, you can save your changes, download, print, or share the completed form as needed.
Get started now and complete your OR Form 508c online!
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
A new form 508c must be submitted for each authorized payment. SECTION A: CREDIT CARD...
Oct 30, 2023 — Follow these steps to use Adobe Acrobat to create accessible PDFs, check...
UL 508 states: “These requirements cover industrial control devices and accessories, for...
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.