Aviva credit card form 2026

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4.8 out of 5

254 votes

The document is a Credit Card Authorisation Form for Aviva Ltd, requiring the cardholder to provide personal and credit card information to facilitate payment of insurance premiums. It includes important notes on processing, consent for data usage, and instructions for third-party payments. The form emphasizes the need for accurate information to avoid delays and outlines the conditions under which authorizations remain valid.

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Click ‘Get Form’ to open the aviva credit card form in the editor.
Begin by filling out your personal information. Ensure you provide your mobile number and email address, as these will update Aviva's records.
In the 'Policy Details' section, if the cardholder is different from the policy owner, indicate their relationship and reason for third-party payment. Attach any required identification documents.
Proceed to the 'Credit Card Account Details' section. Select either Visa or MasterCard, then enter your card details including the cardholder’s name, NRIC/Passport number, and credit card number.
Fill in the issuing bank and card expiry date. Make sure to sign as per your credit card on the designated line.
Finally, review all entries for accuracy before submitting your completed form back to Aviva Ltd.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (254 Votes)
2013	4 Satisfied (47 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to do a credit card authorization form?

You have two options for payment: You can make a credit card payment by either calling us at 1-866-456-6620 or calling Aviva Billing directly at 647-696-4253. You can also make a payment through online banking with Aviva Canada as the payee and your Aviva policy account number.