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Merchant Services Application Form Template

Create a seamless application process for merchant services

Are you struggling to collect the necessary information for merchant services applications? This template is perfect for businesses of all sizes seeking to simplify their application process and improve efficiency. With this merchant services application form, you can gather essential business details quickly, enhance your onboarding experience, and ensure compliance with industry standards, all while avoiding paperwork delays. Effortlessly customize it to fit your brand and needs-try the live template to get started.

Use this Template (FREE) Live Preview
Legal business name
Doing business as (DBA) / Trading name
Industry category
Please Specify:
Brief description of products/services
Federal Tax ID (EIN)
Business website URL
Business entity type
Sole proprietorship
Partnership
LLC
Corporation
Nonprofit
Government
Other
Please Specify:
Primary contact full name
Business email
Business phone
Primary contact title/role
Business address line
City
State/Province
Postal/ZIP code
Country
How will you accept payments?
In person (card present)
Online/eCommerce
Phone/MOTO
Mobile
Invoicing/Pay by link
Estimated monthly card volume
Under $5,000
$5,000-$19,999
$20,000-$49,999
$50,000-$99,999
$100,000-$249,999
$250,000+
Average transaction amount
Under $20
$20-$49
$50-$99
$100-$199
$200-$499
$500+
Highest transaction amount
Under $50
$50-$199
$200-$499
$500-$999
$1,000-$4,999
$5,000+
Approximate split of card-present vs card-not-present
100% card-present
Mostly card-present (about 75/25)
Even mix (about 50/50)
Mostly card-not-present (about 25/75)
100% card-not-present
Will you process recurring or subscription payments?
Yes
No
Routing number
Account number
Account type
Checking
Savings
Primary owner/officer full name
Title/Role
Date of birth
SSN (last 4 digits)
Home address
Owner phone
Owner email
Ownership percentage
Under 25%
25%-49%
50%-74%
75%-100%
Are you currently processing card payments?
Yes
No
Have you ever had a merchant account terminated or been placed on MATCH?
Yes
No
PCI DSS compliance status
Valid SAQ and AOC
Working towards compliance
Not sure
Not compliant
Do you sell any high-risk products or services?
Please Specify:
Has your chargeback rate exceeded 1% in the past 6 months?
Yes
No
I confirm the information provided is true and accurate.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Authorized signer full name (type to sign)
Signature date
I authorize the processor and its bank to obtain credit and identity reports for underwriting.
Yes
No
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Paper art illustration representing a merchant services application form template for FormCreatorAI article

When to use this form

Use this form when you need to start accepting card payments for a new store, an online shop, or a seasonal pop-up. It helps startups setting up their first processor, established retailers switching providers, and B2B teams adding payment options. You collect business identity, ownership, volumes, and banking details in one pass so underwriting moves faster. If a consultant or ISO will submit on your behalf, pair it with a Third party authorization form. If you also extend trade credit to customers, share a Customer credit application form alongside your payment setup. The result: fewer back-and-forths and quicker approval.

Must Ask Merchant Services Application Questions

  1. What is your legal business name, any DBA, and tax ID (EIN)?

    This verifies your identity and reduces delays caused by name or tax record mismatches. Underwriters use it to match IRS and banking records and to set up your merchant ID correctly.

  2. Who are the owners and authorized signers (percent ownership, DOB, and last 4 of SSN)?

    Collecting beneficial owner details satisfies KYC/AML checks and prevents later holds. It also clarifies who can sign the agreement and receive account notices.

  3. What are your expected monthly card volume, average ticket, and highest ticket?

    These numbers help set processing limits and pricing that fit your risk profile. Clear estimates reduce funding holds by aligning approvals with real-world transaction sizes.

  4. How will you accept payments and what do you sell (in-person, keyed, e-commerce URL, subscriptions)?

    Channels and products drive fraud risk and PCI needs, so this shapes underwriting and gateway setup. An e-commerce URL enables a quick site review to confirm your offer, policies, and contact details.

  5. What bank account should we use for deposits and debits (routing, account, and name on account)?

    Accurate settlement details ensure payouts reach you and chargebacks can be handled. A voided check or bank letter confirms ownership and prevents onboarding delays.

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