Ridgecrest, CA · Kern County
Credit Card Authorization
This form lets a person provide credit card information and a signature to authorize payment for a permit or another purchase from Ridgecrest.
What this form is
The Credit Card Authorization form records card details and a cardholder signature for a purchase identified as a permit or other item. It asks for the card type, number, expiration date, security code, cardholder name, billing address, phone number, date, and signature; it also includes a checkbox for authorization over the phone and fields for staff use.
Who needs it
A person paying for a permit or another purchase by credit card can use this form to provide payment and cardholder information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it lists 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 PDF.
- 2
Complete the Form
Enter the requested purchase, card, cardholder, billing address, phone, and date information, then sign.
- 3
Check for Attachments
The form lists no attachments to gather.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Credit Card Authorization form for?
- It records credit card details and a cardholder signature for a purchase identified as a permit or other item.
- What information does the form ask for?
- It asks for card details, cardholder name, billing address, phone number, date, and signature. It also has a checkbox for authorization over the phone.
- Do I need a notary for the Credit Card Authorization form?
- No. The form is signed without a notary and lists no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Credit Card Authorization form?
- Submit it to the city department named on the form; check the city website for current contact details.