NAUTH Page 1 of 1 Rev. 10 / 2 6 /201 7 COLORADO SECRETARY OF STATE 1700 Broadway, Ste. 200, Denver, CO 80290 (303) 894 - 2200 press 2, Fax (303) 869 - 4864 Payment is required with request. AUTHENTICATION REQUEST FORM Apostille or Certificate T he document(s) is/are being authenticated for the foreign coun try of : Number of Colorado Notary Public signatures or Public Official signatures (i.e. state registrar, county clerk, etc. ) signatures submitted to be authenticated : Indicate standard of service requested: Regular - W alk - in and drop - off or send via postal mail or express mail ( completed by end of next business day. ) OR Expedite - Walk - in only, completed while you wait . Expedites are not processed after 4:30 PM. (add $10 per document to the regula r fee for this service ) Authentication fee per document regular service: $5.00 Authentication fee per document expedited service: $15.00 AMOUNT ENCLOSED : $ We only accept cash, checks, or money o rders. Make checks and money orders payable to: Colorado Secretary of State Notarized documents must have been properly notarized by a Colorado Notary Public PRIOR TO submission to the Department of State. Other documents (certificates of birth, d eath, co urt proceedings, etc.) must have been issued in the State of Colorado in order for us to authenticate them. REQUESTING PARTY Name: Phone: Address: City: State: ZIP E mail Address: Mail back Pick up next business day A prepaid waybill or label must be included if you would like us to send ba ck your document(s) using FedEx or UPS . Please note w e cannot accept labels that include our office address on them. Prepaid Account Number: Job Number: American LegalNet, Inc. www.FormsWorkFlow.com