Payment Card Industry Data Security Standards Annual 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the Cover Page. Select your Business Center from the drop-down menu and enter your OST ID, Organization name, and Org # as found in the PCI DSS Status Report.
3. Next, input your Merchant ID (MID) and Doing Business As (DBA) name. Ensure these match what is listed in your PCI DSS Status Report.
4. Describe your business and products/services offered under 'Use of Merchant ID'. Confirm if they are listed in the OSU Fee Book by answering yes or no.
5. Indicate how you process credit cards by checking all applicable methods: In Person, Telephone, Mail, or E-Commerce.
6. List any computers that store or process credit card data along with their IP addresses. Note if they use wireless internet.
7. For point of sale merchants, provide details for each POS device including hardware, software version, serial number, jack number, IP address (if applicable), and physical location.
8. Complete sections regarding payment gateway and processor information based on your provider's details.
9. Ensure all staff involved have completed annual PCI training and document their names and training dates.
10. Attach copies of policies and procedures that demonstrate compliance with PCI DSS requirements before finalizing the form.

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