Daly City, CA · San Mateo County
Credit Card Authorization Form
Daly City Building Division uses this form for cardholders authorizing credit card payments toward building department fees for permits and related services.
What this form is
This form authorizes the Daly City Building Division to accept credit card payments for a 3R Report, new permit application, plan or permit renewal, or another purpose. It requests company and cardholder details, card information, employee names and signatures, and the cardholder’s signature and date. The form states that only Visa and MasterCard payments are accepted.
Who needs it
A cardholder authorizing the Daly City Building Division to charge building department fees to a company credit card should complete 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 form is signed without a notary; the cardholder and any employees authorized to use the card sign, and the cardholder dates the form.
How to submit this form
- 1
Download The Form
Download the Credit Card Authorization Form.
- 2
Complete The Form
Select the payment purpose and complete the company, cardholder, and credit card information.
- 3
Add Employee Authorizations
Enter the names and signatures of employees authorized to use the card, if applicable.
- 4
Sign And Submit
Have the cardholder sign and date the form, then submit it to the city department named on the form.
Frequently asked questions
- What payments can I authorize with this form?
- The form lists a 3R Report, a new permit application, a plan or permit renewal, and other payments as options.
- Which credit cards does the form accept?
- The form states that only Visa and MasterCard credit card payments are accepted.
- Do I need a notary for the Credit Card Authorization Form?
- No. This form is signed without a notary; the cardholder and any employees authorized to use the card sign, and the cardholder 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.
Need something notarized?
This Credit Card Authorization Form doesn’t need a notary — but if you have another Daly City form that does, a commissioned online notary can help.