Credit Card Authorization Form Templates

A Guide to Credit Card Authorization Forms plus 40 Free Examples in MS Word
Dealing with customer payments can be complicated, but with consumers preferring to pay for goods and services using a credit card, it’s vital that your business is set up for credit card authorizations. To get you started, we have a range of free samples and templates available for you to download and customize in MS Word and also resume samples. In addition to our free templates, this guide provides useful information on when to use a credit card authorization form, the associated advantages, what a form should include, and relevant legal requirements.

When To Use a Credit Card Authorization Form

There are many instances when businesses may need to authorize credit card payments, particularly if the merchant does not have physical access to the credit card at the time a transaction is processed. Consider whether any of the following scenarios apply to your business transactions:
  • The credit card holder is not physically present i.e. they have placed an order on the Internet, over the phone, via email, or by standard mail. Verbal or written authorizations of credit card purchases, or card not present transactions, are typically used by merchants that do not have a traditional shop front e.g. airlines. Businesses that do not operate with physical point of sale infrastructure may also need to use credit card authorization forms.
  • Credit card billing occurs in the future – At the time of transaction, the customer’s credit card is not charged, and the sale is instead pending against the cardholder’s account. These “authorization only” transactions are commonly used by hotels and car rental companies where an initial temporary charge may then be adjusted based on actual costs incurred e.g. hotel room service charges. Businesses can also use this type of transaction for customers that wish to put items on hold that are temporarily out of stock.
  • Credit card payments are of an ongoing or recurring nature – These card on file transactions occur when the cardholder has authorized for the credit card to be used as the standing method of payment. Examples include businesses that offer subscription-based services, and prefer to automate transactions for repeat clients.

Advantages of Using Credit Card Authorization Forms

There are multiple benefits to adopting payment authorization forms for your business, including:
  • Efficiency – When capturing customer and payment information, instead of having to complete and store multiple forms, you can use a single credit card authorization form. This will improve business process efficiency, and reduced documentation can simplify the organization and retention of records.
  • Ability to build consumer trust – It’s not sufficient to write a customer’s payment details on just any old piece of paper. You need to instill confidence in the cardholder that their personal information will be secure. The first step is to use a well-designed payment authorization form that demonstrates your professionalism and commitment to proper transaction documentation.
  • Protection against fraudulent activity – Certainly, there are security risks associated with payments using credit cards, but authorization forms are invaluable when having to address a chargeback claim. This is where the cardholder reports an unauthorized transaction and attempts to have the charges reversed. Keeping proper records of completed and signed forms also ensures that you are protected from potentially fraudulent transactions.

What Information Should the Form Include?

Whichever form template you choose to use, your business information (business name, address and phone number) should be clearly displayed. Your form should include space for:

Cardholder and credit card details

  • The cardholder’s details – Customer’s full name, billing address and contact information
  • Credit card details – Credit card type e.g. Visa, Mastercard; credit card number, expiry date and CVV security code
  • An authorization statement – Here is just one example: I, [cardholder’s name] authorize [your business name] to process a charge against my credit card account in the amount of $[agreed amount]
  • The cardholder’s signature – The form must be signed and dated for it to be valid

Recurring transactions

It may be that you have ongoing or recurring charges with a customer. According to an article published by Square on payment card processing best practices, you will need to include the following additional information on the authorization form:
  1. transaction amounts
  2. frequency of the charges
  3. the duration for which cardholder permission is granted


If you are refunding a payment, make sure you issue the refund directly back to the customer’s payment card. Feel free to use our Credit Card Refund Authorization Form template for this purpose. If you must make the refund via cash, check, or into a bank account, get the customer to sign a written statement that they have received the refund.

Standards for the Collection and Retention of Credit Card Information

The laws regarding the collection and retention of credit card information vary from state to state. To fill this legal void, a proprietary security standard, the Payment Card Industry Data Security Standards (PCI DSS), was created to provide a way of measuring and maintaining secure practices in organizations that handle cardholder information. credit card paymentsDespite PCI compliance not being enforceable by federal law, some U.S. states refer to the PCI DSS directly. For example, in 2009, Nevada incorporated the standard into state law, requiring merchants doing business in that state to comply with the standards. Even if you are not currently required to comply with the PCI DSS, this may change in the future, and maintaining compliance with the standards is another indicator of your business’ professionalism. Many of the templates we’ve provided include a brief statement referring to the storage of credit card information. Depending on your business credit card information retention policy, this statement is something you may wish to include to allay customers’ fears around potential fraudulent activity.

PCI DSS Requirements for Compliance

At a high level, there are 12 requirements for compliance established through the PCI DSS:
  1. Install and maintain a firewall configuration to protect cardholder data
  2. Do not use vendor supplied defaults for system passwords and other security parameters
  3. Protect stored cardholder data
  4. Encrypt transmission of cardholder data across open, public networks
  5. Protect all systems against malware, and regularly update antivirus software programs
  6. Develop and maintain secure systems and applications
  7. Restrict access to cardholder data by business need to know
  8. Identify and authenticate access to system components
  9. Restrict physical access to cardholder data
  10. Track and monitor all access to network resources and cardholder data
  11. Regularly test security systems and processes
  12. Maintain a policy that addresses information security for all personnel
For in-depth information on PCI compliance as well as access to webinars, tutorials, and guidance visit the PCI Security Standards Council webpage.

Credit Card Authorization Form Examples

Whether you need to process one-off transactions or recurring payments, choose from our range of customizable samples. The below templates have been designed to suit various business sectors, including healthcare, hospitality and legal services. You’ll also find sample forms for use in various scenarios, including credit card refund authorization, membership charge authorization and fee charge authorization for Visa and Mastercard.

Multiple User Credit Authorization Form

Multiple User Charge Authorization

Let your client give permission for up to four named users to make orders to be charged to a single credit card.

  • Size: 183 B
  • Downloads: 3844
  • Filename: multiple-user-credit-authorization-form.docx
  • Uploaded: 2014-09-21 13:19:00 / 7596

Invoice Payment Charge Authorization

Invoice Payment Charge Authorization

Pay for multiple invoices in a single transaction or specify individual charges for each all in a single place.

  • Size: 50 KB
  • Downloads: 3594
  • Filename: Invoice-Payment-Charge-Authorization.docx
  • Uploaded: 2014-09-21 13:07:00 / 7593

Fee Charge Authorization for Visa and MC

Fee Charge Authorization for Visa and MC

Establish an agreement to charge fees immediately upon acceptance of a client application.

  • Size: 183 B
  • Downloads: 3937
  • Filename: fee-charge-authorization-visa-mc.docx
  • Uploaded: 2014-09-20 22:48:00 / 7586

Hotel and Incidentals Charge Authorization Form

Hotel and Incidentals Charge Authorization

Comprehensive charge authorization form specifically tailored for the hospitality and event business.

  • Size: 183 B
  • Downloads: 3273
  • Filename: hotel-incidentals-charge-authorization-form.docx
  • Uploaded: 2014-09-20 17:16:00 / 7582

Airline Ticket Charge Authorization

Airline Ticket Charge Authorization

Perfect for travel agencies, large or small, this form conveniently combines passenger data and the related charge authorization information in one place.

  • Size: 58 KB
  • Downloads: 2771
  • Filename: Airline-Ticket-Charge-Authorization.docx
  • Uploaded: 2014-09-19 18:39:00 / 7460

Elegant Blank Credit Card Authorization Form

Elegant Charge Authorization Form

Elegant charge authorization form with carefully crafted language to protect both parties.

  • Size: 54 KB
  • Downloads: 4237
  • Filename: Elegant-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 15:36:00 / 7569

Flexible Donation Charge Authorization Form

Flexible Donation Charge Authorization Form

Dynamic form for pre-authorization of recurring donation charges with three options for donations.

  • Size: 20 KB
  • Downloads: 2632
  • Filename: Flexible-Donation-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 15:24:00 / 7566

Direct Payment Authorization Form

Direct Payment Authorization Form

Form for payment via electronic transfer from bank accounts with convenient entry for all of the necessary info.

  • Size: 24 KB
  • Downloads: 2857
  • Filename: Direct-Payment-Authorization-Form.docx
  • Uploaded: 2014-09-20 15:20:00 / 7563

Donation Charge Authorization Form

Donation Charge Authorization Form

For organizations that accept gifts and donations for their ongoing maintenance with a number of options.

  • Size: 183 B
  • Downloads: 2684
  • Filename: donation-charge-authorization.docx
  • Uploaded: 2014-09-20 15:17:00 / 7560

Charge Authorization Form with Remittance Slip

Charge Authorization with Remittance Slip

Collect credit card information for a one-time charge or for recurring transactions; with a removable remittance slip.

  • Size: 183 B
  • Downloads: 2533
  • Filename: charge-authorization-form-remittance-slip.docx
  • Uploaded: 2014-09-20 15:10:00 / 7557

Charge Authorization with In-Office Section

Charge Authorization with In-Office Section

Use this form to combine the credit card authorization, transaction details, and client data all in one place.

  • Size: 183 B
  • Downloads: 2632
  • Filename: charge-authorization-office-section.docx
  • Uploaded: 2014-09-20 15:03:00 / 7554

Charge Authorization with Driver’s License

Charge Authorization with Drivers License

Add an extra layer of protection for both you and your client by requiring driver’s license information.

  • Size: 183 B
  • Downloads: 2516
  • Filename: charge-authorization-drivers-license.docx
  • Uploaded: 2014-09-20 14:58:00 / 7551

Equipment or Services Charge Authorization

Equipment and Services Charge Authorization

Straightforward form that authorizes charges to an account in return for equipment rentals or services provided.

  • Size: 183 B
  • Downloads: 2626
  • Filename: equipment-services-charge-authorization.docx
  • Uploaded: 2014-09-20 14:47:00 / 7548

Blanket Charge Authorization Form

Blanket Charge Authorization Form

Establish a general line of credit through credit card company between customer and with your business.

  • Size: 32 KB
  • Downloads: 2840
  • Filename: Blanket-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 14:42:00 / 7545

Standing Card Authorization Form for Healthcare

Standing Credit Card Authorization for Healthcare

Form for establishing a standing credit card charge authorization - Care Credit or commercial credit card.

  • Size: 183 B
  • Downloads: 2790
  • Filename: standing-credit-card-authorization-form-healthcare.docx
  • Uploaded: 2014-09-20 14:32:00 / 7542

Single or Recurring Invoice Charge Authorization

Single or Recurring Invoice Charge Authorization

Single invoice authorization or permission to bill for invoices created for future transactions.

  • Size: 183 B
  • Downloads: 4519
  • Filename: single-recurring-invoice-charge-authorization.docx
  • Uploaded: 2014-09-20 14:22:00 / 7539

Professional Credit Card Authorization Form

Professional Credit Card Authorization Form

No-nonsense and highly professional looking credit card authorization template to accept credit card payments.

  • Size: 21 KB
  • Downloads: 2695
  • Filename: Professional-Credit-Card-Authorization-Form.docx
  • Uploaded: 2014-09-20 14:17:00 / 7536

Permit Application Charge Authorization via Fax Form

Permit Application Charge Authorization Via Fax

Authorization form combined with a fax coversheet for a simple all-in-one processing of a permit payment.

  • Size: 183 B
  • Downloads: 2313
  • Filename: permit-application-charge-authorization-via-fax-form.docx
  • Uploaded: 2014-09-20 14:10:00 / 7533

Membership Charge Authorization Form

Basic Membership Charge Authorization Form

Charge membership fees to a credit card without having to swipe the card on a reader machine.

  • Size: 183 B
  • Downloads: 2569
  • Filename: membership-charge-authorization-form.docx
  • Uploaded: 2014-09-20 14:05:00 / 7530

Hotel Credit Card Authorization Form

Hotel Charge Authorization Form

Hotel form to request front and back copies of the credit card being used to make the reservation.

  • Size: 25 KB
  • Downloads: 2679
  • Filename: Hotel-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:59:00 / 7527

Legal Services Charge Authorization Form

Legal Services Charge Authorization Form

Designed for those working either on retainer or on a case-by-case basis (common in the legal profession).

  • Size: 30 KB
  • Downloads: 2517
  • Filename: Legal-Services-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:50:00 / 7524

Monthly Recurring Credit Card Authorization Form

Monthly Recurring Charge Authorization Form

For clients with ongoing transactions: use to set up recurring charges to streamline your interactions.

  • Size: 22 KB
  • Downloads: 2845
  • Filename: Monthly-Recurring-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:34:00 / 7521

Generic Credit Card Authorization Form

Multipurpose Charge Authorization Form

Simple and flexible multi-purpose generic form to tailor your transactions for whatever might come your way.

  • Size: 42 KB
  • Downloads: 2775
  • Filename: Multipurpose-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:29:00 / 7518

Single or Recurring Charge Authorization Form

Single or Recurring Charge Authorization

This ultra-flexible form with choice of paying for a single transaction charge or an ongoing authorization.

  • Size: 183 B
  • Downloads: 2878
  • Filename: single-recurring-charge-authorization-form.docx
  • Uploaded: 2014-09-20 13:22:00 / 7515

Standing Credit Card Authorization Form

Standing Credit Card Authorization Form

Generic ongoing credit card authorization form for online businesses - get through checkout more quickly.

  • Size: 48 KB
  • Downloads: 2572
  • Filename: Standing-Credit-Card-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:13:00 / 7512

Credit Card Refund Authorization Form

Credit Card Refund Authorization Form

Re-collect the card information if you are not storing confidential information and need to issue a refund.

  • Size: 60 KB
  • Downloads: 2453
  • Filename: Credit-Card-Refund-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:06:00 / 7509

Participant Charge Authorization Form

Participant Charge Authorization Form

Quick and efficient billing for a gallery, trade show and exhibition, setting up a community craft fair.

  • Size: 25 KB
  • Downloads: 2420
  • Filename: Participant-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 13:01:00 / 7506

Recurring Premium Charge Authorization Form

Recurring Premium Charge Authorization

Dental, medical, legal, vision, auto and any number of other insurance types that have ongoing payments.

  • Size: 183 B
  • Downloads: 2535
  • Filename: recurring-premium-charge-authorization-form.docx
  • Uploaded: 2014-09-20 12:37:00 / 7500

Software and Services Recurring Charge Form

Software and Services Recurring Charge Authorization

Designed specifically to support companies providing ongoing software and service support.

  • Size: 183 B
  • Downloads: 2510
  • Filename: software-services-recurring-charge-authorization.docx
  • Uploaded: 2014-09-20 12:29:00 / 7497

Flexible Start Recurring Charge Authorization Form

Flexible Start Recurring Charge Authorization

Make arrangements for the future with this template allowing for a flexible start date for recurring charges.

  • Size: 183 B
  • Downloads: 2459
  • Filename: flexible-start-recurring-charge-authorization-form.docx
  • Uploaded: 2014-09-20 12:25:00 / 7494

Deposit and Application Fee Charge Authorization

Deposit and Application Charge Authorization Form

This rental fee authorization form tracks both the deposit and application charge - great for renting equipment or housing.

  • Size: 183 B
  • Downloads: 2353
  • Filename: deposit-application-fee-charge-authorization.docx
  • Uploaded: 2014-09-20 12:16:00 / 7491

Event Charges Authorization Form

Event Charges Authorization Form

Collect information ahead of time to ensure that there’s no need to distract clients with financial details.

  • Size: 22 KB
  • Downloads: 2473
  • Filename: Event-Charges-Authorization-Form.docx
  • Uploaded: 2014-09-20 12:10:00 / 7488

Hotel Reservation Charge Authorization Form

Hotel Reservation Charge Authorization Form

Ensure that credit card charges are clearly understood by all parties. For employees and managers in the hospitality.

  • Size: 31 KB
  • Downloads: 2474
  • Filename: Hotel-Reservation-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 12:06:00 / 7485

Credit Authorization Assignation Form

Credit Authorization Assignation Form

Allow customers to authorize others to make limited charges to their card (i.e. allows a parent to assign limited credit to their child).

  • Size: 38 KB
  • Downloads: 2488
  • Filename: Credit-Authorization-Assignation-Form.docx
  • Uploaded: 2014-09-20 11:01:00 / 7482

Student Coursework and Accommodations Charge

Coursework and Accommodations Charge Authorization Form

Making payments for coursework and accommodations with explanation of the nature of the charges.

  • Size: 183 B
  • Downloads: 2421
  • Filename: student-coursework-accommodations-charge-authorization.docx
  • Uploaded: 2014-09-20 10:36:00 / 7476

Established Client Charge Authorization Form

Established Client Charge Authorization Form

Established customers can be billed for services they wish to give to others as gifts.

  • Size: 1 MB
  • Downloads: 2172
  • Filename: Established-Client-Charge-Authorization-Form.docx
  • Uploaded: 2014-09-20 10:30:00 / 7473

Student Third-Party Vendor Charge Authorization Form

Student Third Party Vendor Charge Authorization

Cover sheet that allows accounts receivable to understand the charge history of any student at a glance.

  • Size: 183 B
  • Downloads: 2384
  • Filename: student-third-party-vendor-charge-authorization-form.docx
  • Uploaded: 2014-09-20 10:24:00 / 7470

Outstanding Accounts Credit Card Authorization Form

Outstanding Accounts cc Authorization Form

For companies where ongoing expenses cannot always be billed completely at the time of providing the services.

  • Size: 183 B
  • Downloads: 2351
  • Filename: outstanding-accounts-credit-card-authorization-form.docx
  • Uploaded: 2014-09-20 10:10:00 / 7467

Travel Expenditure Charge Authorization

Travel Expenditure Charge Authorization

Organize all of the expenses that are incurred as part of client travel with a concise summary of the charges.

  • Size: 22 KB
  • Downloads: 2455
  • Filename: Travel-Expenditure-Charge-Authorization.docx
  • Uploaded: 2014-09-19 20:12:00 / 7464