Fees / Payment:
Number of documents: x $25.00 per document = Total Due: (or $250 flat fee for 10 or more)
State of South Dakota
Apostille / Certificate of Authentication Request
Send to: SD Secretary of State, Attn: Apostille Office, 500 E. Capitol Avenue, Pierre, SD 57501
(605) 773-2797 / apostille@state.sd.us
Send this form with your documents. Please print or type, illegible forms may be returned.
Country document(s) will be used in:
Type of Document(s):
Address Document(s) will be returned to:
(If documents are being sent internationally a pre-paid, self-addressed envelope is required)
Name:
Company (If applicable):
Address: City: State: Zip:
Daytime Telephone Number: Email Address:
Form of Payment Enclosed or Authorized:
Cash
Check drawn on U.S. bank (please make payable to SD Secretary of State)
Money Order from a U.S.
bank (Please make payable to SD Secretary of State)
Credit/Debit Card: MasterCard Visa Discover
Name as it appears on card:
Billing Address:
City: State: Zip:
Card Number:
Expiration date: CID:
Payment Authorization: I authorize the South Dakota Secretary of State to charge my credit /
debit card for the amount due for the authentication services provided by the Secretary of State.
Cardholder’s Signature: Date:
If the name on the credit card or debit card is in the
name of a company, please print the signer’s name:
For Office Use Only:
Date Processed: Receipt #:
Apostille: Document #: Authentication:
Processed by: Number of Documents:
