What information does the Credit Card Authorization Form request?

It requests card and billing details, a telephone number, the amount and purpose of the charge, and an authorized signature.

How do I submit the Credit Card Authorization Form?

Send it to the Administrative Services Department, Attention: Cashier, at the address on the form, or fax it to (661) 255-4988.

Do I need a notary for the Credit Card Authorization Form?

No. This form is signed without a notary, and it lists no notarized attachment or sworn step; the signer simply signs and dates it.

Santa Clarita, CA · Los Angeles County

No notary required

Credit Card Authorization Form

Cardholders use this form to authorize a credit card charge to the City of Santa Clarita and provide the details needed to process it.

What this form is

Use this form to authorize a charge to a credit card for the City of Santa Clarita. It asks for the date, card type and number, expiration date, billing address, card code, telephone number, amount, purpose of charge, and authorized signature.

Who needs it

A cardholder who wants to authorize a credit card charge to the City of Santa Clarita should complete and sign this form.

How to submit it

Submit the form to the Administrative Services Department, Attention: Cashier, at 23920 Valencia Blvd., Suite 140, Santa Clarita, CA 91355, or fax it to (661) 255-4988.

About notarization

This form is signed without a notary; it lists no notarized attachment or sworn step, so the signer simply signs and dates it.

How to submit this form

1
Download the Form
Download the City of Santa Clarita Credit Card Authorization Form.
2
Complete the Form
Enter the requested card, billing, contact, charge, and date information.
3
Gather Attachments
The form does not list any attachments.
4
Submit to the City
Send it to the Administrative Services Department, Attention: Cashier, or fax it to the number printed on the form.

Frequently asked questions

What information does the Credit Card Authorization Form request?: It requests card and billing details, a telephone number, the amount and purpose of the charge, and an authorized signature.
How do I submit the Credit Card Authorization Form?: Send it to the Administrative Services Department, Attention: Cashier, at the address on the form, or fax it to (661) 255-4988.
Do I need a notary for the Credit Card Authorization Form?: No. This form is signed without a notary, and it lists no notarized attachment or sworn step; the signer simply signs and dates it.

Need something notarized?

This Credit Card Authorization Form doesn’t need a notary — but if you have another Santa Clarita form that does, a commissioned online notary can help.