One Ashburton Place, Room 1719, Boston, Massachusetts 02108 • (617) 727-2836• Fax: (617) 727-5914
sec.state.ma.us/pre • comm@sec.state.ma.us
The Commonwealth of Massachusetts
William Francis Galvin, Secretary of the Commonwealth
Commissions Section
Apostille/Certification Request Form
INSTRUCTIONS
Submit this completed form along with payment and the original documents to be authenticated.
Please be advised that authentications can only be obtained for documents with an original
signature of the Secretary of the Commonwealth or a valid Massachusetts:
Notary Public
Justice of the Peace
City/Town Clerk or assistant
Court clerk or assistant
Registrar of Vital Records
Massachusetts does not authenticate federal or out-of-state documents. Federal or out-of-state
documents must be authenticated by the federal agency or state of origin.
Additionally, this office does not perform authentications on notarized copies of federal, in-state
or out-of-state government issued documents. Examples: this office will not authenticate a
notarized photocopy of a Certificate of Good Standing issued by the State of Delaware or a
background check issued by the Federal Bureau of Investigation.
ORDER INFORMATION
Date of Request _____________________
Country in which the documents will be used ________________________________________
Requestor’s name _______________________________________________________________
(First) (Last)
Name of Firm/Organization (if applicable) __________________________________________
One Ashburton Place, Room 1719, Boston, Massachusetts 02108 • (617) 727-2836• Fax: (617) 727-5914
sec.state.ma.us/pre • comm@sec.state.ma.us
Address ______________________________________________________________________
(Street)
____________________________________ ______________ _______ _________________
(City/Town) (State) (Zip) (Country)
Daytime telephone number _________________ Email address _______________________
FEES
Checks/Money order only, made payable to: Commonwealth of Massachusetts
Number of documents _______ x $6.00 per document = Total Due ___________
METHOD TO RETURN DOCUMENTS
Check the box of the method below by which to return the documents; if nothing is checked your
order will be available in the office for pick up.
First Class Mail (self-addressed stamped envelope required)
Express Mail (prepaid label & envelope required)
Pick up order in the office
Mail or hand deliver this completed form along with the payment and documents to be
authenticated to one of the following offices:
Secretary of the Commonwealth Secretary of the Commonwealth Secretary of the Commonwealth
Commissions Section 436 Dwight Street, Room 102 218 South Main Street, Suite 206
One Ashburton Place, Room 1719 Springfield, MA 01103 Fall River, MA 02721
Boston, MA 02108 (413) 784-1376 (508) 646-1374
Any more than three (3) documents hand delivered must be left overnight and picked up the
next business day, no exceptions.
For more information, please visit www.sec.state.ma.us/pre or contact the Commissions Section by
email at: comm@sec.state.ma.us or by phone at: (617) 727-2836.
$ 0.00