La Puente, CA · Los Angeles County
Credit Card Authorization
Use this form to authorize a credit card payment to the City of La Puente and provide cardholder details for processing.
What this form is
This form authorizes the City of La Puente to charge a specified amount to a credit card and records the cardholder’s billing and signature details. Use it when paying a city charge by card; the form requests the cardholder’s name, billing address, card type, charge amount, processing fee, signature, and date. Call City Hall to provide the card number.
Who needs it
Anyone authorizing a credit card payment to the City of La Puente can use this form to provide billing and cardholder information.
How to submit it
Print and complete the form, return it, and call City Hall at 626-855-1500 to provide your credit card number.
About notarization
No notary is required for this authorization; the cardholder signs and dates it after completing the charge details.
How to submit this form
- 1
Download The Form
Download the Credit Card Authorization form.
- 2
Complete The Form
Enter the cardholder name, billing address, card type, charge amount, and processing fee.
- 3
Sign And Date
The cardholder signs and dates the authorization.
- 4
Return And Call City Hall
Return the completed form and call City Hall at 626-855-1500 to provide the credit card number.
Frequently asked questions
- What information does the Credit Card Authorization form request?
- It requests the cardholder’s name, billing address, card type, amount to charge, processing fee, signature, and date. Call City Hall to provide the credit card number.
- How do I submit the Credit Card Authorization form?
- Print and complete the form, return it, and call City Hall at 626-855-1500 to provide your credit card number.
- Do I need a notary for the Credit Card Authorization form?
- No. The document does not require notarization; the cardholder signs and dates the authorization.
Need something notarized?
This Credit Card Authorization doesn’t need a notary — but if you have another La Puente form that does, a commissioned online notary can help.