Debit Card Authorization Form

Debit Card Authorization Form Template for Belgium

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Key Requirements PROMPT example:

"I need a Debit Card Authorization Form under Belgian law for a personal account that includes multi-currency functionality and allows for occasional high-value international transactions, with specific provisions for contactless payments."

Document background

The Debit Card Authorization Form is a crucial document required by Belgian financial institutions when issuing debit cards to account holders. This document serves multiple purposes: it acts as an application for a debit card, provides explicit consent for account access, and establishes the ongoing relationship between the bank and cardholder. The form must comply with Belgian banking regulations, the EU Payment Services Directive 2 (PSD2), and data protection requirements under GDPR. It is used when opening new accounts, replacing expired cards, or requesting additional cards for existing accounts. The document includes essential information such as cardholder details, account information, authorization scope, security protocols, and applicable fees. In the Belgian context, this form typically requires more comprehensive data protection clauses and specific consumer protection elements compared to similar forms in other jurisdictions.

Suggested Sections

1. Account Holder Information: Details of the account holder including full name, address, and contact information as required by Belgian banking regulations

2. Bank Account Details: Information about the bank account to be linked to the debit card, including IBAN and BIC codes

3. Card Details: Specification of the type of debit card requested and any specific features or limitations

4. Authorization Declaration: Explicit authorization statement for card issuance and account access, compliant with PSD2 requirements

5. Terms and Conditions: Standard terms governing the use of the debit card, including cardholder responsibilities and bank obligations

6. Security Measures: Information about PIN, chip security, and other security features as required by Belgian banking regulations

7. Privacy Notice: GDPR-compliant statement about personal data processing related to the debit card service

8. Fees and Charges: Overview of applicable fees and charges for card issuance and usage

9. Signature Block: Space for account holder signature and date, with witness or bank representative signature if required

Optional Sections

1. Secondary Cardholder Information: Used when an additional card is requested for another person with access to the account

2. Recurring Payment Authorization: Include when the card will be used for standing orders or recurring payments

3. Foreign Transaction Declaration: Required when the cardholder indicates intention to use the card frequently abroad

4. Business Use Declaration: Include when the card is being issued for business rather than personal use

5. Special Conditions: For any custom arrangements or specific limitations requested by either party

6. Parent/Guardian Authorization: Required for cardholders under 18 years of age

Suggested Schedules

1. Schedule A - Fee Structure: Detailed breakdown of all applicable fees, charges, and commission rates

2. Schedule B - Required Documentation: List of supporting documents required for card issuance (ID proof, address proof, etc.)

3. Schedule C - Card Usage Limits: Standard daily and transaction limits for different types of transactions

4. Appendix 1 - Terms Glossary: Definitions of banking and technical terms used in the authorization form

5. Appendix 2 - Contact Information: Emergency contact numbers and procedures for lost/stolen cards

Authors

Alex Denne

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Banking and Financial Services

Retail

E-commerce

Professional Services

Healthcare

Education

Hospitality

Transportation

Telecommunications

Insurance

Real Estate

Non-profit Organizations

Government Services

Small and Medium Enterprises

Relevant Teams

Legal

Compliance

Customer Service

Account Services

Operations

Risk Management

Data Protection

Product Development

Retail Banking

Documentation

Quality Assurance

Client Relations

Regulatory Affairs

Relevant Roles

Bank Branch Manager

Account Services Representative

Compliance Officer

Legal Counsel

Banking Operations Manager

Customer Service Representative

Financial Services Administrator

Risk Management Officer

Data Protection Officer

Product Manager - Banking

Financial Controller

Account Manager

Banking Operations Analyst

Customer Relations Manager

Regulatory Compliance Specialist

Find the exact document you need

Authorisation Form

A Belgian-law compliant document that formally grants specific powers or permissions from an authorizing party to an authorized representative.

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Let's create your Debit Card Authorization Form

Authors

Alex Denne

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