H.B.T. Notary Services – Jail/Detention Information Form
Tell us what you need notarized and the facility details so we can prepare a quote (no appointment is scheduled yet).
Full Name of Person Requesting Service
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Are you the person whose signature will be notarized?
*
Yes
No
Signer's Full Name
*
First Name
Last Name
Relationship to Signer
*
Please Select
Parent
Child
Spouse
Other Family Member
Friend
Client
Attorney/Law Office
Other
Jail/Detention Facility Name
*
Full Name of Person Needing Notarization
*
First Name
Last Name
Type of Document to be Notarized
*
Please Select
Power of Attorney
Affidavit
Financial Document
Legal/Attorney Document
Other
Not Sure
Who will coordinate the notary visit with the facility?
*
Person Requesting Service
Facility Staff/Contact Person
Attorney/Law Office
Other
Not Sure
Facility Contact Person Name
*
Facility Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Facility Contact Person’s Extension (optional)
Have arrangements been made with the facility for the notary visit?
*
Yes
No
In Progress
Not Sure
Are there any special visitation, scheduling, identification, or document requirements?
*
Yes
No
Not Sure
Please provide details about the facility requirements.
*
Number of Documents to be Notarized
*
Please Select
1
2
3
4
5+
Not Sure
Number of Signers
*
Please Select
1
2
3
4+
Not Sure
Number of Notarial Acts
*
Please Select
1
2
3
4
5+
Not Sure
Does the signer have a valid, unexpired government-issued photo ID?
*
Yes
No
Not Sure
Are witnesses required?
*
Yes
No
Not Sure
Facility Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Anything else H.B.T. Notary Services should know about this request?
Jail and detention facility appointments may require advance coordination and are subject to the facility’s visitation, identification, scheduling, and notary procedures.
Please do not sign any portion requiring notarization until instructed by the notary. H.B.T. Notary Services cannot provide legal advice, select documents, or tell clients how to complete their documents.
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