Legal Templates
Credit Card Authorization Form

Credit Card Authorization Form for the United States

Credit Card Authorization Form Template for United States

A Credit Card Authorization Form is a legal document used in the United States that allows a merchant to obtain permission from a cardholder to charge their credit card for specified payments. The document must comply with federal regulations including the E-SIGN Act, FCRA, and PCI DSS standards, as well as state-specific requirements. It provides protection for both the merchant and the cardholder by clearly documenting the terms of the authorization and ensuring secure handling of sensitive financial information.

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What is a Credit Card Authorization Form?

The Credit Card Authorization Form serves as a crucial document in U.S. business transactions, providing merchants with documented permission to process credit card payments. This form is especially important for recurring payments, future-dated transactions, or when the cardholder is not physically present. It includes essential information such as cardholder details, payment terms, and specific authorization parameters while ensuring compliance with federal and state regulations regarding financial data security and privacy. The form helps prevent disputes and chargebacks while providing a clear audit trail for both parties.

What sections should be included in a Credit Card Authorization Form?

1. Cardholder Information: Section containing basic details of the cardholder including name, billing address, contact information

2. Card Details: Section for credit card information including card type, number, expiration date, and security code (CVV)

3. Authorization Statement: Clear and explicit statement authorizing charges to the card, including scope and purpose of the authorization

4. Payment Terms: Details specifying payment amount, frequency, and duration of the authorization

5. Security and Privacy: Information about how card data will be protected and stored in compliance with PCI DSS standards

What sections are optional to include in a Credit Card Authorization Form?

1. Recurring Payment Terms: Additional terms specific to recurring payments, including frequency and cancellation procedures

2. Multiple Card Authorization: Section for authorizing multiple payment methods or backup payment cards

3. International Transaction Notice: Disclosures regarding international processing fees and currency conversion

What schedules should be included in a Credit Card Authorization Form?

1. Payment Schedule: Detailed schedule showing payment dates, amounts, and duration for recurring payments

2. Terms and Conditions: Complete terms and conditions of the authorization including liability, dispute resolution, and cancellation policies

3. Privacy Policy: Detailed policy regarding the handling, storage, and protection of cardholder data

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

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Jurisdiction

United States

Publisher

Genie AI

Document Type

Authorization Form

Sector

Legal Services

Cost

Free to use
Industries

E-SIGN Act: Federal law governing electronic signatures and records in commerce, ensuring legal validity of electronic authorization forms

Fair Credit Reporting Act (FCRA): Federal law regulating the collection, dissemination, and use of consumer credit information

Fair and Accurate Credit Transactions Act (FACTA): Federal law aimed at preventing identity theft and ensuring accuracy of consumer records

PCI DSS Compliance: Industry security standard for organizations that handle credit card information to ensure protection of cardholder data

Gramm-Leach-Bliley Act (GLBA): Federal law requiring financial institutions to explain their information-sharing practices and protect sensitive data

FTC Disclosure Requirements: Federal Trade Commission rules requiring clear and conspicuous disclosure of terms and conditions in financial agreements

State Privacy Laws: Various state-specific regulations governing data privacy, such as CCPA in California, requiring specific handling of personal information

Card Network Rules: Specific requirements set by credit card networks (Visa, Mastercard, etc.) for processing and storing card information

State Electronic Signature Laws: State-specific regulations governing the validity and requirements for electronic signatures on financial documents

PCI Security Standards: Guidelines set by the PCI Security Standards Council for maintaining secure environment for credit card data processing

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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