When Notarized ID Verification is Required
To confirm that an individual is not using a fraudulent identity, the following may require notarized identity verification:
- Banks
- Loan companies
- Utility companies
- Schools
Sample
Download: PDF, Word (.docx), OpenDocument
IDENTITY VERIFICATION FORM
Print Name: [NAME]
Last 4 Digits of SSN: [EMAIL ADDRESS]
Address: [ADDRESS]
I hereby represent that all the above information is true and accurate.
Signature ________________________ Date: [MM/DD/YYYY]
NOTARY ACKNOWLEDGMENT
State of [STATE]
County of [COUNTY]
On this [DATE], before me, the undersigned notary public, personally appeared [SIGNER’S NAME], who signed or attested to the same in my presence, and presented the following form of identification as proof of his or her identity:
☐ Driver’s License or Govt. Identification Card
☐ U.S. Passport
☐ U.S. Military ID Card
☐ State Identification Card
☐ Social Security Card
☐ Birth Certificate
☐ Other: ___________________________
WITNESS my hand and official seal.
________________________
Notary Signature
Title or Rank: [TITLE OR RANK]
Serial Number, if any: [SERIAL NUMBER]
My Commission Expires: [MM/DD/YYYY]
Acceptable Forms of ID
When confirming an individual’s identity, the notary public will require government-issued identification. The following are generally accepted:
Accepted US-issued ID
- Passport
- Military ID
- Social Security Card
- Birth Certificate
- US Government Photo ID
- US Green Card
Accepted state-issued ID
- Driver’s License
- State Photo ID
- State Government Employee ID