Notary Bond request form

Please complete the following form.
For name and/or address changes call 800.637.2676, Option 3.

Credit union information

Business type Credit union Other

Credit union name

Organization name

Full mailing address

Notary bond will be sent to this address.

ATTN (first and last name)

Email address

Phone

Phone number extension

Contact information

Notary public name (required to match notary commission paperwork)

First name

Middle (name or initial)

Last name

Address

City

Zip code

Birthdate (MM/DD/YYYY)

County of residence

Bond type County only State bond

Effective date/commission date (MM/DD/YYYY)

What effective date/commission date do you desire for your bond?

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Notary bonds not required in the following states: CO, CT, DE, GA, IA, ME, MD, MA, MN, NH, NJ, NY, NC, OH, OR, RI, SC, VT, VA, and WV. Most notary bonds need to be filed with the State between 30 – 90 days after receipt of the notary bond.

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Notary Bond request form

Credit union information

Contact information