Letter of Authorization for Credit Card

This form lets a customer provide credit card and service details when authorizing a card for a city transaction.

What this form is

The Letter of Authorization for Credit Card collects the cardholder’s name, card number, card type, expiration date, security code, billing address, contact details, and service address. It lists Visa, American Express, and MasterCard as accepted card types. The form does not state when the city requires it or provide submission instructions.

Who needs it

Customers providing credit card information for a city transaction can use this form to identify the card and the related service address.

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 includes no notarized or sworn attachment, and the signer just signs and dates it.

How to submit this form

1
Download the Form
Download the Letter of Authorization for Credit Card PDF.
2
Complete the Form
Enter the requested cardholder, credit card, contact, billing address, and service address details.
3
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 information does the credit card authorization form request?: It requests cardholder and card details, including card type, expiration date, security code, billing address, contact information, and service address.
Which card types does the form accept?: The form lists Visa, American Express, and MasterCard as accepted card types.
Do I need a notary for the Letter of Authorization for Credit Card?: No. This document is signed without a notary; it includes no notarized or sworn attachment, and 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.

Need something notarized?

This Letter of Authorization for Credit Card doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.