Stat Mobile Notary Request: Brief Intake Questionnaire:

Stat Mobile Notary Request: Brief Intake Questionnaire:

Urgent, Professional, & Compassionate Service. We come to you.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
When do you need this service?*

MonthDayYear
We specialize in strictly mobile service which includes a travel fee. Are you looking for a mobile appointment or a walk-in office?*

Mobile Service ( I understand there is a travel fee)Walk-in Office
⚠️ We Are Strictly Mobile. We do not have a physical office location for walk-ins. We travel to you (homes, hospitals, coffee shops) for a travel fee. If you would like to book a mobile appointment, please change your selection above
Add on Fees: Document Printing & Shipping/Delivery Needs:*

I need YOU to PRINT the documents - add $20 (+ $5-> Notary fee per signature)Yes, I have the documents and a pre-paid label - Add $20 (+$5-> Notary fee per signature)I need BOTH Printing and Shipping/ Delivery Service - Add $40 (+$5-> Notary fee per signature)No, I just need documents notarized. - Add $5 per Notary fee per signature
What type of document do you need notarized? (you must have the form to be notarized, we don't carry notary forms)*

Power of Attorney / Wills / Living TrustHealthcare Directive / Medical FormsI-9 Employment VerificationGeneral Notary (Affidavits, School Forms, etc.)
Is the signer currently alert, oriented, and able to sign their name?*

YesNoUnsure
If you answered 'No' or 'Unsure' above, please list your Name, Phone Number, and Relationship to the signer so we can discuss options.*
Does the signer have a valid, physical Government ID or Passport with them?*

Yes, it is in the roomNo, family has itNo, it is lostYes, it is with security locked upOther
🛑 ID Required. By law, we cannot notarize a signature without the signer's valid government-issued ID present at the time of signing. If the ID is lost or unavailable, we cannot proceed. Please locate the ID or contact us to discuss alternative identification options (like Credible Witnesses)

Policy Notice: As a "Stat" service, I maintain a strict schedule to guarantee arrival times for other prepaid clients. I cannot wait for ID to be delivered once I am on-site.

If I arrive and the ID is not physically in the room, the appointment will be cancelled, and the full Travel Fee will be non-refundable.
⚠️ URGENT: ID Must Be Present Upon Arrival

You indicated that the signer's ID is currently with a family member. Please ensure the ID is brought to the location before I arrive.

Policy Notice: As a "Stat" service, I maintain a strict schedule to guarantee arrival times for other prepaid clients. I cannot wait for ID to be delivered once I am on-site.

If I arrive and the ID is not physically in the room, the appointment will be cancelled, and the full Travel Fee will be non-refundable.
Please coordinate with your family immediately to avoid losing your reserved slot and fee.
Where will the signing take place?*

Private ResidenceHospital / Nursing Facility ( Please provide Room number)Business / OfficePublic Meeting Place (Coffee Shop, Library, Waiting Room, Lobby)
Give a location address (Public locations preferred, if not give a reason below)*
I will call you when I arrive to find the exact location in the "Public Meeting Place"
Gate Code or Parking Instructions or Hospital/Nursing Home room number:*
My Products
prevnext( X )
Mobile Service & Travel FeeNON-REFUNDABLE DEPOSIT: This fee secures your specific appointment time and covers immediate travel costs. It is not refundable if the appointment is cancelled, or if the notarization cannot be completed due to missing ID or the signer being non-alert. (e.g. signer refuses, no ID present, or cancellation.
$25.00 QuantityAppointment Urgency Level
Item subtotal:$0.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

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