clip art of a cell phone with a credit card in the screen

The agency Platform allows agencies to have an online payment website.  This simple website allows for payment for interagency functions and public facing payments.

If you are an Arizona State agency*, it's easy to get started. Provide the information below and we'll be in touch within two business days. We look forward to contacting you so we can learn more about your project.

By providing your contact information, you are not obligating your agency to use the service.

Interested in learning more about how ASET can meet your website needs? Contact our Engagement Managers.

*This service is only available to Arizona State agencies, boards, and commissions for use with public websites.

Stand Alone Payment Website Request

Please complete the below information and we will contact you regarding building your stand-alone payment website. Currently ADOA-ASET does not charge for this service to connect to the web portal payment processing system. However, there are limitations to how this service can be used. Once you have completed the form below, we will schedule a consultation to review your requirements and discuss the limitations of this service. When completing the fields below, it may help to view an existing payment website such as: https://adcpay.az.gov/

Agency Contact
@
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Basic Information
Will the customer buy one product at a time or a combination of multiple products?
Please provide a rough estimate of the current # of transactions you anticipate receiving each year.
Please provide a rough estimate of the total dollar amount you will collect in a year.
https://
.az.gov
@
What email address should be used as the "From" address when the site sends emails?
Do you need to provide the website in multiple languages?
Messages
Please provide a welcome message to display to the user when they first reach the site. An example message has been provided for your convenience.
Please provide a confirmation message to display to the user after they have made their payment. An example message has been provided for your convenience.
@
What email address(es) should be used to send submissions to? Typically it is best for this to be a distribution list managed by the agency.
What should the email say that is sent to the agency contacts after a payment is made? An example message has been provided for your convenience.
Message: What should the email say that is sent to the agency contacts after a payment is made? An example message has been provided for your convenience.
Users
Please provide the names and email addresses of those who should be able to log into the site to conduct the following activities: Business Review - Review order submission reports. Make content changes. Please separate each E-mail with a comma.
Please provide the names and email addresses of those who should be able to log into the site to conduct the following activities: Financial - Review order submissions and payment status reports. Submit CASH payment transactions if requested. Please separate each E-mail with a comma.
Please provide any additional information or comments you would like us to know to develop your stand alone payment application.
Please upload any additional documentation or information that will help us build your payment site.
One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx, ppt, pptx.
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