Apostille Request Form- English
OFFICE USE ONLY • Date received: __________ Received by: _________________________ Receipt no.: __________ OFFICE OF THE LIEUTENANT GOVERNOR NOTARIES PUBLIC DIVISION 5049 Kongens Gade • St. Thomas, Virgin Islands 00802 (340)774-2991 REQUEST FORM APOSTILLE OR CERTIFICATE OF AUTHENTICATION STANDARD FEE $25.00 per document STANDARD SERVICE 7–14 business days RUSH SERVICE • Add $50.00 VIRGIN ISLANDS Residents Only Transactions or mailings that extend beyond the Virgin Islands are not eligible for rush processing. A copy of the applicant’s valid photo identification must accompany this request. …
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OFFICE USE ONLY • Date received: __________ Received by: _________________________ Receipt no.: __________ OFFICE OF THE LIEUTENANT GOVERNOR NOTARIES PUBLIC DIVISION 5049 Kongens Gade • St. Thomas, Virgin Islands 00802 (340)774-2991 REQUEST FORM APOSTILLE OR CERTIFICATE OF AUTHENTICATION STANDARD FEE $25.00 per document STANDARD SERVICE 7–14 business days RUSH SERVICE • Add $50.00 VIRGIN ISLANDS Residents Only Transactions or mailings that extend beyond the Virgin Islands are not eligible for rush processing. A copy of the applicant’s valid photo identification must accompany this request. 1 APPLICANT INFORMATION First name ______________________________ ______________________________ Last name ____________________________ ____________________________ Date _______________________________ _______________________________ Mailing address ______________________________ ______________________________ City / State / ZIP ____________________________ ____________________________ Daytime telephone _______________________________ _______________________________ Email address ______________________________ Firm or organization (if applicable) ____________________________ ____________________________ Person picking up document(s) (Other than client) _______________________________ _______________________________ 2 DOCUMENT AND SERVICE DETAILS Name(s) listed on the document _____________________________________ Service requested ☐ Apostille ☐ Certificate of Authentication ☐ Notary Verification Type of document _____________________________________ The country where the document will be used _______________________________________________ 3 PAYMENT Checks/money orders payable to the Government of the Virgin Islands Number of documents: ________ × $25.00 per document TOTAL: $________________ ☐ Money order no. __________________ ☐ Check no. ________________________ ☐ Credit Card ________________________ 4 RETURN DELIVERY Important: All mailing transactions require a tracking number ☐ Self-addressed carrier label: ☐ FedEx ☐ UPS ☐ DHL Tracking no. __________________________ ☐ Self-addressed USPS: ☐ Priority Mail ☐ Express Mail Tracking no. __________________________ 5 APPLICANT ACKNOWLEDGMENT I have reviewed the requested document(s) in their entirety and verified that the names and dates contained therein are accurate. ____________________________ Printed Name ____________________________ Signature ____________________ Date