Notary Public Appointment And Commission Affirmation Form
Schedule a notary public appointment and provide the commission affirmation details needed for the visit.
Appointment Details
Appointment Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Appointment Type / Service Needed
*
Please Select
Acknowledgment
Jurats
Oath or Affirmation
Signature Witnessing
Copy Certification
Loan Signing
Other
Preferred Location or Meeting Method
*
In-person at office
Mobile notary at my location
Virtual meeting
Other
Appointment Notes / Special Instructions
Applicant Information
Applicant Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Commission Affirmation
Notary Public Full Name
*
First Name
Middle Name
Last Name
Commission Expiration Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Commission Affirmation
*
I affirm that my notary commission is currently active and valid for the appointment date.
Submit Form
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