top of page
Help | News | English | Good Standing Community
REFUND PROCESSING AUTHORIZATION FEE PROGRAM
SECOND DRAW APPLICATION FORM
Revised February 05, 2025
Control No.: 3212-0513
Expiration Date: 08/01/2025

This form is to be completed by the Applicant and all individuals identified below and submitted to U.S Department of Bank Card.
Variations of this document
Version I
Version H
Version G
Version F
Version D
Version C
Version B
Version A
| Effective: 2025-02-02
| Effective: 2025-02-02
| Effective: 2025-02-01
| Effective: 2025-02-01
| Effective: 2025-01-20
| Effective: 2025-01-19
| Effective: 2025-01-18
| Effective: 2025-01-11
Download translations

Disclaimer: Translations are for informational purposes only. Applications must be submitted in English.
bottom of page