Credit Card Update

Credit Card Update Form

Company Name

DOT Number

DOT-

Email Address

Confirm Email Address

Credit Card Information

To protect against unauthorized transactions, fraud, and identity theft, any credit card added, updated, or maintained on file for payment of Services must belong to the registered owner, authorized officer, member, partner, or authorized representative associated with the USDOT registration, MC registration, or business entity receiving the Services.

Additionally, the Company does not accept prepaid debit cards, prepaid credit cards, gift cards, virtual prepaid cards, reloadable prepaid cards, or any similar prepaid payment instruments

Name On Card

Credit Card Type

Credit Card Zip Code

Credit Card Number

Expiration Date

CVC Code

Credit Card Number

Expiration Date

CVC Code

Payment Method Authorization and Consent

By submitting this payment information, I represent and warrant that I am the authorized cardholder or otherwise have the legal authority to use the payment method provided. I authorize the company, FMCSA Processing Agent LLC (dba #1 A $20 BOC-3 Filing LLC) to update the primary payment method on file for my account with the payment information submitted through this form.

I further authorize the company, to charge this payment method for all fees, charges, recurring service fees, renewals, past-due balances, and other amounts due in connection with my account and the services provided, in accordance with the Terms of Service and any applicable service agreement.

I acknowledge that this payment method will remain the primary payment method associated with my account and may be used for future authorized charges until I update my payment information or terminate the applicable services in accordance with the Terms of Service.

I understand that I am responsible for maintaining accurate and current payment information and that failure to do so may result in service interruption, late fees, collection activity, or account suspension as permitted by applicable law and the Terms of Service.

By checking this box and submitting this form, I acknowledge that I have read, understood, and agree to the Terms of Service and Privacy Policy, including all provisions relating to billing, payment authorization, recurring charges, and cancellation procedures.