Notary Service Registration

Notary Service Registration

Please complete the form below to request notary services. Provide as much detail as possible to help us serve you better. If you have any questions, please contact us at 413-276-6086 or email notary@westernmasscaresolutions.com
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Contact Method

PhoneEmailText
Where will the service take place?*
If other, please provide Location of Meeting
Current Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is your current address the same as the address on your Driver's License/ID?

YesNo
Type of Notarization Needed*
Please specify if 'Other' is selected
Type of Document to be Notarized*
Please specify if 'Other' is selected
Amount of documents to be notarized?*
Would you like us to provide witnesses?*

YesNo
Will all signers be present with valid government-issued photo ID?

YesNo
Preferred Date & Time for Notary Service*

MonthDayYear
Time*

Hour Minutes

AM/PM Option
Upload the Document(s) to be Notarized*

Cancelof
Additional Questions or Information
Policy Acknowledgment*

I understand that payment is due before or at the time of service.I understand that I must bring valid, unexpired photo ID.I understand that the notary will not notarize incomplete or blank documents.
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