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Online Credit Card Authorization Form for the Netherlands

Online Credit Card Authorization Form Template for Netherlands

A legally binding document compliant with Dutch law and EU regulations (including GDPR and PSD2) that enables businesses to securely obtain authorization from customers to process credit card payments. This form serves as both a consent mechanism for data processing and a payment authorization instrument, incorporating necessary security measures and privacy protections required under Dutch financial regulations and European Union directives. The document ensures compliance with PCI DSS requirements while providing clear terms for both one-time and recurring payment authorizations.

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Online Credit Card Authorization Form

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What is a Online Credit Card Authorization Form?

The Online Credit Card Authorization Form is essential for businesses operating in the Netherlands that process credit card payments through digital channels. This document becomes necessary when merchants need explicit permission to charge a customer's credit card, whether for one-time or recurring transactions. It combines requirements from Dutch financial regulations, EU payment services directives (PSD2), data protection laws (GDPR), and international card scheme rules (PCI DSS). The form typically includes cardholder details, payment specifications, data processing consent, and security declarations. It's particularly crucial for e-commerce platforms, subscription services, and any business conducting regular electronic payment transactions in the Dutch market.

What sections should be included in a Online Credit Card Authorization Form?

1. Card Holder Information: Details of the card holder including full name, billing address, and contact information

2. Credit Card Information: Secure section for credit card details including card number, expiration date, and security code, with clear PCI DSS compliance notice

3. Authorization Terms: Clear statement of what the card holder is authorizing, including payment amount, frequency, and purpose

4. Data Protection Notice: GDPR-compliant explanation of how credit card and personal data will be processed, stored, and protected

5. Consent Declaration: Explicit consent statement for both payment authorization and data processing

6. Duration and Cancellation: Terms regarding how long the authorization remains valid and how it can be cancelled

7. Electronic Signature: Section for electronic signature or explicit acceptance of terms

What sections are optional to include in a Online Credit Card Authorization Form?

1. Recurring Payment Terms: Include when the authorization is for recurring payments rather than one-time charges

2. Multiple Card Authorization: Include when the user needs to authorize multiple cards

3. Third Party Authorization: Include when the card holder is authorizing payments to multiple third-party beneficiaries

4. International Transaction Notice: Include when transactions may be processed internationally

5. Variable Amount Authorization: Include when the payment amount may vary between transactions

What schedules should be included in a Online Credit Card Authorization Form?

1. Schedule A - Payment Schedule: Detailed breakdown of payment dates and amounts (for recurring payments)

2. Schedule B - Privacy Policy: Detailed privacy policy and data protection measures

3. Schedule C - Security Protocols: Description of security measures and PCI DSS compliance details

4. Appendix 1 - Authorized Third Parties: List of authorized third parties who may process the payment (if applicable)

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Netherlands

Publisher

Ƶ

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions



























Clauses
























Relevant Industries

E-commerce

Retail

Financial Services

Technology

Healthcare

Professional Services

Hospitality

Education

Subscription Services

Travel and Tourism

Entertainment

Non-profit Organizations

Relevant Teams

Finance

Legal

Compliance

Information Security

Payment Operations

Customer Service

Revenue Operations

Risk Management

Treasury

E-commerce Operations

Relevant Roles

Finance Manager

E-commerce Director

Payment Operations Manager

Compliance Officer

Data Protection Officer

Chief Financial Officer

Revenue Operations Manager

Billing Coordinator

Account Manager

Financial Controller

Risk Manager

Treasury Manager

Payment Systems Administrator

Industries








Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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