Independent Notary Application

Independent Notary Application

Please complete this application to join as an independent notary. All information will be used to verify your credentials and eligibility.
Full Legal Name*

First NameMiddle NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
State of Notary Commission*
Notary Commission Number*
Commission Expiration Date*

MonthDayYear
Date
Years of Notary Experience*
Do you have Errors & Omissions Insurance?*

YesNo
Service Capabilities
Services Offered

Loan SigningsGeneral Notary WorkApostilleRON
Counties Covered

Duval CountyNassau CountySt. Johns CountyClay CountyBaker CountyPutnam CountyFlagler CountyMiami-Dade CountyMonroe CountyBroward County
Willing to travel

YesNo
Compliance Uploads
Please upload a copy of your notary commission certificate*

Cancelof
Please describe your notary experience and any specialties (optional)
E&O Insurance

Cancelof
Background Check

Cancelof
W-9 Form

Cancelof
Payment Information
Preferred Payment Method
Payment Email/ Account Name
Agreement
Independent Contractor Agreement

I acknowledge that I am a 1099 independent contractor and carry my own insurance.
By signing below, I certify that the information provided is accurate and complete to the best of my knowledge.*

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Service Capabilities