Home
Forms Library
Customers fax this form to DMV for payment authorization

Customers fax this form to DMV for payment authorization 2025

Customers fax this form to DMV for payment authorization Preview on Page 1

See details

4 out of 5

35 votes

The document is a Vehicle Services Payment Authorization form used by customers to authorize payment to the DMV via fax. It includes sections for applicant information, vehicle details, dealer information, and credit card payment authorization. Customers must complete the form and fax it to the appropriate DMV work center based on their transaction type.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Customers fax this form to DMV for payment authorization with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by filling out the Applicant Information section. Enter your name, DMV customer number, daytime telephone number, mailing address, city, state, and ZIP code.
Next, provide Vehicle Information. Fill in the plate number, VIN, make, year, title number, and state of title.
In the Dealer Information section, select the application type and add any relevant comments.
For Payment Authorization, choose your credit card type (MasterCard, Visa, American Express, Discover) and enter the name on the card along with your daytime telephone number.
Input your credit card number and specify the amount to be charged. Don’t forget to include the expiration date and sign as the cardholder.
Finally, locate the Transaction/Fax Information section. Identify your applicable Work Center and fax your completed form to the provided number.

Start using our platform today for free to streamline your document editing and submission process!

See more Customers fax this form to DMV for payment authorization versions

We've got more versions of the Customers fax this form to DMV for payment authorization form. Select the right Customers fax this form to DMV for payment authorization version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (144 Votes)
2015	4 Satisfied (35 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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

What is an electronic payment authorization form?

An Automated Clearing House (ACH) authorization is a payment authorization that gives the lender permission to electronically take money from your bank, credit union, or prepaid card account when your payment is due. You can revoke this authorization.

Who fills out the ACH form?

Before a business can debit and charge money from its clients checking accounts using the Automatic Clearing House (ACH) Network, it needs to gain authorization to do so. To receive this authorization, your client has to fill out an ACH authorization form.

What is payment Authorisation form?

Payment authorization for subscription-based businesses A formal document signed by the customer giving the merchant permission to charge the customers specified card or bank for future payments.

What is electronic payment authorization form?

ACH authorization forms act as a legal agreement that authorizes electronic funds transfers between businesses and customers. They ensure compliance, prevent disputes, and provide a layer of protection against unauthorized payments, keeping transactions smooth and secure.

What forms of payment does VA DMV accept?

Acceptable Methods of Payment DMV accepts payment by personal check, cash, cashiers check, credit card, debit card or money order.

What is an EFT authorization form?

Filling out an ACH authorization form is necessary to transfer funds electronically. It is essential to ensure the accuracy of the information provided.

Customers fax this form to DMV for payment authorization 2025

Here's how it works

How to use or fill out Customers fax this form to DMV for payment authorization with DocHub