Emergency Video
Notarization Journal
N.C. Secretary of State www.sosnc.gov 919 814 5400
It is required that this Emergency Video Notary Journal be retained by the notary for at least ten (10) years.
This Emergency Video Notary Journal may also be digitally retained for your records.
Could the Notary and Principal both see each other?
YES NO
Entry No. Date of Completion: Time: Last, First Name
[Signer (s)]
: Type of Notarial Act: Type Of ID:
Were Other Person(s) Present?
YES NO
Was original wet signature notarized?
YES NO
If “YES”, On What Date:
County
(Where the principal is located at time of notarization):
Signature:
What Type of Audio-Visual Technology/Software Was Used:
Name(s) of Person(s) Present:
ID No.:
Issuing Agency
:
Notes:
Could the Notary and Principal both see each other?
YES NO
Entry No. Date of Completion: Time: Last, First Name
[Signer (s)]
: Type of Notarial Act: Type Of ID:
Were Other Person(s) Present?
YES NO
Was original wet signature notarized?
YES NO
If “YES”, On What Date:
County
(Where the principal is located at time of notarization):
Signature:
What Type of Audio-Visual Technology/Software Was Used:
Name(s) of Person(s) Present:
ID No.:
Issuing Agency
:
Notes:
