Home
Forms Library
Credit card ach authorization form

Combined Credit Card and ACH Authorization Form 2026

credit card ach authorization form Preview on Page 1

See details

4 out of 5

30 votes

The document is an authorization form for Electronic Funds Transfer (EFT) and credit card payments to Qual-i-Tax, Inc. It outlines the necessary information required for setting up recurring or one-time payments, including account details for EFT and credit card information. The form emphasizes the confidentiality of the provided information and includes sections for signatures and dates.

Here's how it works

01. Edit your credit card ach authorization 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 ach credit card authorization form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Combined Credit Card and ACH Authorization Form 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 selecting your preferred payment method. Choose either 'Electronic Funds Transfer (EFT)' or 'Credit Card' by checking the appropriate box.
For EFT, fill in the required fields: Account Holder Name, ABA Routing Number, Financial Institution Name, and Account Number. Remember to attach a copy of a voided check.
Sign and date the authorization for EFT payments at the bottom of that section.
If opting for credit card payments, complete the fields for Cardholder Name, Card Type, Credit Card Account Number, Expiration Date, Billing Address, City, State, Zip Code, and CVC Code.
Select whether you want recurring payments or a one-time payment by checking the appropriate box and providing any necessary details.
Finally, sign and date the authorization for credit card charges at the bottom of that section.

Start using our platform today to easily complete your Combined Credit Card and ACH Authorization Form online for free!

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 a credit card or ACH authorization form?

An ACH authorization form is a legal agreement that allows electronic funds transfers between businesses and customers, ensuring secure and compliant transactions. These forms can process one-time or recurring payments and must adhere to Nacha regulations, serving as a legally binding contract.

What is the purpose of a credit card authorization form?

A credit card authorization form is a document that customers (or cardholders) fill out to grant businesses the permission to charge their credit card. Credit card authorization forms are more often used for larger purchases (think cars, computers, etc.)

How do I create an ACH authorization form?

Credit card authorization forms are a best practice for merchants. While its not legally required, It is highly recommended to ensure both you and your client are aware of how charges will be processed for future transactions.

Is a credit card authorization form legal?

Before a business can begin collecting ACH debit payments from a customer, they must receive an ACH debit authorization from them. Theres no standardized format for an ACH authorization form, but each one requires a set of mandatory elements.

What is a ACH on a credit card?

An Automated Clearing House (ACH) credit payment occurs whenever someone instructs the ACH network to push money from their account to someone elses.

maryland electronic funds transfer

Combined credit card and ach authorization form template Combined credit card and ach authorization form pdf Combined credit card and ach authorization form online ACH authorization form template word Payment authorization form PDF Credit card Authorization form PDF ACH Credit Authorization form template ACH payment AUTHORIZATION form pdf

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

What is an ACH credit 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 an 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.

Combined Credit Card and ACH Authorization Form 2026

Here's how it works

How to use or fill out Combined Credit Card and ACH Authorization Form with DocHub

Complete this form in 5 minutes or less

Got questions?

What is a credit card or ACH authorization form?

What is the purpose of a credit card authorization form?

How do I create an ACH authorization form?

Is a credit card authorization form legal?

What is a ACH on a credit card?

Complete this form in 5 minutes or less

People also ask

What is an ACH credit authorization form?

Who fills out an ACH form?

Related links

Try more PDF tools