Send this request : IN PERSON Secretary of State Los Angeles Regional Office 300 South Spring Street, Rm. 12513 Los Angeles, CA 90013 (213) 897-3062 OR BY MAIL Secretary of State Sacramento Main Office 1500 11th Street Sacramento, CA 95814 (916) 657-5448 Authentication Request & Apostille Order Form Please authenticate and attach an apostille to the enclosed documents. Personal Information Name: Address: Postal Code: Country: City: E-mail: Region/State: Document Information The legalized document(s) are being sent to (specify country): Please return the documents to: personal address provided above. another address: Organization/Company: Name of Contact: Address: Region/State: Postal Code: Telephone: City: Country: Fee Information I am enclosing the required fee of $ for this service. Date: (Signature) Form Approved for Mandatory Use FL-18B (Adopted 01/01/11, Revised 01/01/12-01/01/15) imperial.courts.ca.gov AUTHENTICATION REQUEST AND APOSTILLE ORDER FORM American LegalNet, Inc. www.FormsWorkFlow.com