Cover Letter

Cover Letter/Request Form

Apostille and/or Certificate of Authentication

Instructions:

Click here to print for mailing (you may need to download Adobe Acrobat Reader); or, just print this webpage.

This "Request Form" is considered a legal document. Please read carefully and print clearly, thank you. If you have questions, just call us.

Date: ____________________________________

Full Name: __________________________________________________________

Mailing/Shipping Address: ______________________________________________

____________________________________________________________________

Daytime Contact Information:

Important: We will send "Status updates" to your E-Mail address.

E-Mail Address: ______________________________________________________

Phone Number: _______________________________________________________

TYPE of document(s) you are submitting: ________________________________

____________________________________________________________________

What STATE have your document(s) been Certified or Notarized in? ___________

_____________________________________________________________________

COUNTRIES document(s) will go to: ____________________________________

(outside the United States)

_____________________________________________________________________

Please write on the line below if you are requesting an "Apostille" and/or "Certificate of Authentication":

________________________________________________________________________

Service Fee Per Document:

Due to a credit card convenience fee, the fees below will be different if you've purchased through our Payment Center; please fill in below the fees that you have paid, thank you.

Apostille: Number of document(s) _____________ x $89.99 = $ _______________

Certificate of Authentication (Cert/Auth):

Number of document(s) _____________ x $99.99 = $ ___________________

Additional Services Below (optional):

Embassy Certification - how many __________x $49.99 = $ ________________

Notary Copy Certification - how many __________x $49.99 = $ _____________

International Shipping - $49.99 (Yes/No) _______________

Are you on our Payment Plan? (Yes/No) ________________

Did you purchase online through our Payment Center? (Yes/No): ____________

Please make payable to: DMS Apostille Service

TYPE of payment enclosed: ____________________________________________

(Cashiers Check, Certified Check, Personal Check, Company/Corporation Check, Money Order)

TOTAL $$ enclosed: $_____________________________

Do you have any Special Instructions for us? (Yes/No) _____________________

_______________________________________________________________________

I understand and I Accept the following:

* Privacy Policy/Procedures

* I authorize, and I have paid "DMS Apostille Service" to obtain, from the United

States Authorities, the appropriate Authentication(s) for my document(s).

Print Name: _______________________________________________

Signature: ________________________________________________

Mail Documents, Cover Letter, and Form Of Payment To:

DMS Apostille Service

1215 Mountain Lake Road

Mountain Lake, Minnesota

56159 - U.S.A.

Phone: (507) 822-3828

Thank you, we appreciate your business!

DMS Apostille Service does not give legal advice. We are not affiliated with any government agency. We are only a service.

All Authentication requests are handled by Professional Legal Assistants and Apostille Agents. We adhere to all strict rules and guidelines of the United States Authorities for Authentications. The document and authentication is only for use outside the "United States of America".

Material within these web pages cannot be reprinted and/or distributed by anyone. Before you consider

using any of the information on our website, you must first obtain the necessary permissions from DMS Apostille Service.

DMS Apostille Service

Document Authentications