Aviva credit card form 2026

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The document is a Credit Card Authorization Form for Aviva Ltd, requiring personal and credit card details from the cardholder to authorize regular premium payments for an insurance policy. It includes consent for the collection and use of personal data, important notes regarding payment processing, and contact information for Aviva Ltd.

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Click ‘Get Form’ to open the aviva credit card form in the editor.
Begin by entering your Policy No. in the 'POLICY DETAILS' section. If you are not the Policyowner, provide the Name, NRIC No., and Relationship to the Policyowner.
In the 'PERSONAL DATA CONSENT' section, review and acknowledge your consent for Aviva to handle your personal data as outlined.
Fill in your details under 'CARDHOLDER’S PARTICULARS', including your Name, NRIC/Passport No., Contact Numbers (Home, Office, Handphone), and Email Address.
Proceed to 'CREDIT CARD ACCOUNT DETAILS'. Select either Visa or Mastercard, then enter your Cardholder Name, Card Number, Address of Cardholder, Issuing Bank, and Card Expiry Date.
Finally, sign and date the form at the bottom. Ensure all information is accurate to avoid processing delays.

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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.