Witness Request

Request for Witness Services

Use this form to request one or two professional document witnesses for signings where witnesses are required. Witness services may be scheduled with or without notarization, subject to availability. If you also need a notary, we'll coordinate both services during your appointment.
Date

MonthDayYear
Date
First Name
Last Name
Name

First NameLast Name
cw_client_name
cw_company_name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
Please enter a valid email
RC Mode (Hidden)
Company
Name of Company requesting service.
Company Phone
Company Email
Contact Name for the appointment

First NameLast Name
cw_company_name
cw_client_name
Number of witness(es) needed
White Rose Notary Services cannot guarantee witness availability. When requested, we will make reasonable efforts to locate qualified witnesses. To minimize scheduling delays and additional costs, requesting parties are strongly encouraged to provide their own witnesses whenever possible.
Service Address
Full Service Address Re-typed
Please re-type to ensure accuracy
Fee/mile
parentSubmissionId
Document requires Witnesses
Please Add any other pertinent order details:
Job Type
Witness Fee calculation
Scheduling Fee
Required prior to scheduling and will be subtracted from final fee. May pay full fee if desired.
Venmo Scheduling Fee
Required prior to scheduling and will be subtracted from final fee. May pay full fee if desired.
Appointment
Card Scheduling Fee
Required prior to scheduling and will be subtracted from final fee. May pay full fee if desired.
Witness Fee
Scheduling Fee Total
Payment Total
Payment Method:
💳 Payment Information

Please submit payment using the method selected above.
- Credit/Debit Card payments may be submitted securely through this form.
- Processing fees apply to Credit Card and Venmo payments.
- Non-card payments must be sent after submitting the request form.
- Appointments are confirmed once payment or billing authorization is received.
🏢 Business / Company Billing

Business clients may pay using approved billing methods, company check, company portal, invoice, or authorized card payment. If billing approval has not yet been confirmed, an invoice will be issued to the billing contact provided.

Important:
Final witness fees must be paid after availability is confirmed and at the time of the appointment.
override
Venmo Processing Fee
Venmo Total
Card Processing Fee
Card Total
fbbnotary@gmail.com
Stripe final
White Rose Notary Services LLC
Should be Empty:

Request for Witness Services

💳 Payment Information

🏢 Business / Company Billing