What does the Authorization for Credit Card Use form do?

It authorizes the City of Laguna Hills to charge the cardholder’s credit card once for the amount entered on the form.

What information does the form ask for?

It asks for credit card and billing details, a project or permit number, the authorized charge amount, and the cardholder’s printed name, signature, and date.

Laguna Hills, CA · Orange County

No notary required

Authorization for Credit Card Use

This form lets a cardholder authorize the City of Laguna Hills to make a one-time credit card charge for a specified amount.

What this form is

Use this form to authorize the City of Laguna Hills to charge a credit card once for the amount entered on the form. It records the card details, billing address, project or permit number, authorized amount, and the cardholder’s printed name, signature, and date. The authorization applies only to the single transaction described.

Who needs it

A cardholder who wants to authorize the City of Laguna Hills to make a one-time charge for a specified project or permit payment needs this form.

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; the cardholder just signs and dates the form.

How to submit this form

1
Download The Form
Download the Authorization for Credit Card Use form.
2
Complete The Payment Details
Enter the card and billing details, project or permit number, and amount authorized for the one-time charge.
3
Sign And Date
Print your name, then sign and date the form as the cardholder.
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 does the Authorization for Credit Card Use form do?: It authorizes the City of Laguna Hills to charge the cardholder’s credit card once for the amount entered on the form.
What information does the form ask for?: It asks for credit card and billing details, a project or permit number, the authorized charge amount, and the cardholder’s printed name, signature, and date.
Do I need a notary for the Authorization for Credit Card Use form?: No. This document is signed without a notary; the cardholder just signs and dates the form.
How do I submit the Authorization for Credit Card Use form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Authorization for Credit Card Use doesn’t need a notary — but if you have another Laguna Hills form that does, a commissioned online notary can help.