Payment Authorization Form

This is a formal document that allows a business to process a customer’s payment directly. It includes the payer’s name, card information, the amount, and a signed agreement to authorize the transaction. It can be used for subscriptions, deposits, invoices, or scheduled payments.

The form is ideal for service-based businesses, consultants, medical clinics, and rental providers who need to ensure timely, authorized payments.

Why Use This Form?

You prevent payment delays and reduce chargeback risks. A payment authorization form provides written proof that a customer approved the charge. It helps your business stay compliant with payment processors, improves client trust, and speeds up billing by automating approvals.

Smart Features That Make It Easy

• Collect secure online payments with built-in integrations → Enable online payments

• Add an e-signature field to capture formal consent → Collect electronic signatures easily

• Automatically send confirmation emails to both parties

• Use conditional fields to show recurring payment details only when needed

• Safely store authorization records for future reference

How to Use This Form

1. Click Use Template.

2. Customize the form fields to match your billing needs.

3. Add options for one-time or recurring payments.

4. Include an e-signature field for customer approval.

5. Share the form via link, website, or email.

6. Collect payments and keep a digital copy of the authorization.

Use this payment authorization form to simplify billing, stay protected, and create a professional payment process that your clients trust. Click Use Template to get started.