VSARA-35
Rev. 11/2018
Apostille/Certificate of Authentication Request
Requests may be made in person or mailed. Please print or type this form and include it with your documents.
* Country document(s) will be used in:
Total number of documents:
* Requestor’s Name:
Name of Firm/Organization (if applicable):
Address:
Daytime telephone number:
Email address:
Document(s) will be sent to the address provided above unless other specified here:
Send apostilled/authenticated do
cument(s) to:
Address in the United States (no additional charge)
Address outside the United States
USPS First-Class Mail (no additional charge)
Customer-provided USPS International Priority or Express envelope with postage
Customer-provided carrier label (FedEx, UPS, DHL)
Number of documents: x $10.00 fee per document = Total due:
Payment: Checks/money orders must be drawn on a U.S. financial institution and made payable to Vermont State Archives.
Vermont State Archives and Records Administration
Office of the Secretary of State
1078 US RTE 2, Middlesex Montpelier, VT 05633-7701 Tel: (802) 828-3700 Fax: (802) 828-3710
Vermont Notarized Document
Vermont Certified Public Record
Document(s) to be authenticated/apostilled:
(please check one and list documents)
Required fields appear in red and are ma
rked with an *
1
1
Please send to the attention of: Authentication Services
$ 10.00
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