Surcharge Request Form - Global Payment (TSYS) users

How to Complete the Global Surcharge Request Form

This guide walks you through how to complete the Global Surcharge Request Form required to enable surcharging on your account. Please follow each step carefully and make sure you understand the card brand rules before submitting.

Before You Start (Important)

• Surcharging is only allowed on credit cards. It is not allowed on debit or prepaid cards.
• Your surcharge:
  • Must not exceed your cost of acceptance
  • Must not exceed 3%
• You must review the Card Brand Rule Guide before submitting your form (attached below)
• Some states do not allow surcharging (such as Massachusetts, Connecticut, and Maine)
• You must allow 30 days after registration before surcharging can begin

We’ve also provided a sample completed form to help guide you.

Step 1: Merchant Information

Fill out the following fields:

• Business Legal Name
• Contact Name
• Phone Number and Email
• Legal Address
• Number of Locations

Merchant ID Number (MID)
You can find your Merchant ID:

• On your processing statements, or
• By contacting support at support@mytime.com

Step 2: DBA (Doing Business As) Information

Enter your:

• DBA Name
• DBA Address
• City, State, and ZIP

If you have multiple locations, follow the instructions on the form for additional entries.

Step 3: Surcharge Information

This is one of the most important sections.

Type of POS Equipment That Will Be Utilized for Surcharging

• In MyTime, go to:
  Business Setup → Settings → Terminal Management
• Locate and enter the model of your card reader

Date Surcharging Will Begin

• This date must be at least 30 days after you submit the form

Surcharging Amount or Percentage

• Must follow all rules:
  • Cannot exceed your actual processing costs
  • Cannot exceed 3%
• Must be applied consistently across all card brands

Step 4: Card Brands Accepted

Select all card brands you accept:

• Visa
• Mastercard
• Discover
• American Express (OptBlue required)

Step 5: Compliance Requirements

You will need to confirm the following:

• Surcharge signage is posted:
  • At your entrance
  • At the point of sale
• Surcharge is clearly disclosed:
  • On customer receipts
  • On your payment device and/or website (if applicable)

These disclosures are required to remain compliant with card brand rules.

Step 6: Merchant Processing Method

Select all that apply:

• Card Present (in-person)
• Card Not Present (mail, phone, or bill payment)
• Card Not Present (online/ecommerce)

If you accept online payments, include your website URL.

Step 7: Acknowledgement and Signature

Read the acknowledgement section carefully. By signing, you confirm that:

• You understand and agree to follow all card brand rules
• You are compliant with all applicable state and federal laws

Complete the following:

• Authorized signer's signature (must be a wet signature cannot be an digital/e-signature) 
• Printed name and title
• Date

Final Checklist

Before submitting your form, make sure:

• Your Merchant ID is included
• Your POS equipment is entered correctly
• Your surcharge amount is compliant (does not exceed cost or 3%)
• You have reviewed the Card Brand Rule Guide
• Required signage and disclosures are in place
• The form is signed and dated

Need Help?

If you have any questions or need help completing the form, contact:
support@mytime.com