Apostille Intake Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Date needed
-
Month
-
Day
Year
Date
Destination Country
Notarization needed
Please Select
Yes
No
How many Notarizations needed
Document count
Document Type
Please Select
Birth Certificate
Marriage Certificate
Death Certificate
Academic Document
Other(please specify below)
Other Document
If Vital Record, what is the state of origin?
If Vital Record, when was it issued?
Translation needed
Please Select
Yes
No
What Language
Witnesses needed
Please Select
0
1
2
Document Retrieval
Please Select
FedEx
UPS
DHL
USPS
Pick Up
Drop Off
Notes:
Please upload it here
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Acknowledgment
Terms & Conditions
Tracking number will be provided once shipped, Facilitator is not responsible for delays, loss, or damage caused by shipping carriers.
Facilitator is not liable for delays or denials caused by government agencies, incorrect documentation, or circumstances beyond its control. Client acknowledges and accepts all risks associated with mailing and third-party processing.
Once documents are submitted for processing, all fees are non-refundable. If the client cancels before submission to the issuing authority, a partial refund may be considered at the facilitator’s discretion.
By signing below, the client understands and accepts the terms of this agreement and authorizes NEA Notary Solutions to facilitate the apostille process on their behalf if they decide to move forward with the process.
Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: