Richmond, CA · Contra Costa County
Credit Card Authorization Form
This form lets customers authorize a credit card payment to the Water Resource Recovery Department and provide the card and billing details needed for processing.
What this form is
Use this form to authorize a payment by Visa or Mastercard to Richmond's Water Resource Recovery Department. It asks for the card number, expiration date, amount, CVC code, cardholder name and mailing address, along with an authorizing signature. The form states that all information must be provided to process the payment.
Who needs it
Anyone authorizing a Visa or Mastercard payment to the Water Resource Recovery Department should complete this form.
How to submit it
The form names the Water Resource Recovery Department at 450 Civic Center Plaza, Richmond, CA 94804, and lists fax number (510) 307-8195. It does not specify a submission method.
About notarization
This form is signed without a notary; it includes an authorizing signature field and no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Credit Card Authorization Form.
- 2
Complete The Payment Details
Select Visa or Mastercard and enter the card, payment amount, cardholder, and mailing address details.
- 3
Sign And Date
Provide the authorizing signature and date.
- 4
Send It To The Department
The form lists the Water Resource Recovery Department's Richmond address and fax number; it does not specify a submission method.
Frequently asked questions
- What information does the Credit Card Authorization Form request?
- It requests the card type and number, expiration date, amount, CVC code, cardholder name, mailing address, and an authorizing signature. The form says all information must be provided for processing.
- Do I need a notary for the Credit Card Authorization Form?
- No. The form has an authorizing signature field and no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Credit Card Authorization Form?
- The form lists the Water Resource Recovery Department at 450 Civic Center Plaza, Richmond, CA 94804, and fax number (510) 307-8195. It does not specify a submission method.
Need something notarized?
This Credit Card Authorization Form doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.