Verizon Identity Ve erification: Notary Pro ocess Co over Letter Dear Sir o or Madam: Thank you for applyin ng for a Verizo on Universal Identity. Sincce you have either choseen to use the Notary prrocess or you ur identity co ould not be ve erified througgh the onlinee process, yo ou will need tto complete e and submit the attached d 2‐page Nottary Form. oid delays an nd resubmisssion The attacched 4‐step cchecklist will gguide you through the prrocess. To avo of your paperwork, please follow tthe instructio ons carefully.. Contact us aat the numbeer below if yo ou encounte er any proble ems or wish to receive furrther assistannce. u submit yourr Notary Form m, informatio on about thee status of yo our account w will be sent viia Once you email at tthe address yyou provided d during regisstration. Sincerely,, Verizon Universal Identitty Services s Supportt: 877-855- 7233 Verizon Identity Ve erification: Notary Pro ocess CH HECKLIST:: 4 Steps to o Complete e Your Nottary Form 1. Arrange to com mplete the Nottary Form in th he presence oof a Notary. Do NOT staart filling out the form at thiis time. 2. Lo ocate all the necessary docu uments to prove your identiity. bly have the necessary ID’s in your wallet. For example, in the US a d driver’s licensee and You probab credit card are sufficient to prove yourr identity (Opttion 2). If yourr country of residence issuess a national ID D that will be su ufficant. (Option 1) Review mo ore options on page 1 of the e Notary Form. If you have e questions about valid ID’s p please contact ct us. Invalid iden ntity documents will cause your applicattion to be rejeected. Notary and co 3. Meet with the M omplete the 2‐‐page Notary FForm. Notary verify yo our identity byy examining yyour identity document(s) Have the N Complete a all information n requested on the Applicattion Form. If you have questtions, please contact us to review. e Application Forms will be e rejected. Incomplete 4. Faax the Notary Form to 1‐800 0‐701‐9814 orr send it by maail/shipper to… … Attn: UIS RA R Office (2nd d Floor) Verizon 787 WA ASHINGTON ST NEWTON N MA 02460-1 1701 Sending byy mail/shipper or fax is requiired because iit is a secure communications channel and recommen nded by Nation nal Institute off Standards annd Technologyy If sent by faax please selecct “extra fine ttransmission” setting or “ph hoto mode” to o enhance clarrity. Illegible forrms will cause e your applicaation to be rejeected. Question ns about ID’s or filling out the form? Contact: Supportt: 877-855- 7233 Verizon Identity Verification: V No otary Process Select 1 of 2 Identific cation Options s OPTION 1 / ID #1 O OPTION 1: Use a CLASS A – Natio onal (Federal) Go overnment Photo o ID as your prima ary form of identtification. T Type of Document Circle One (e e.g., passport) Photo: Y N Photo Requ uired Is ssued By S Serial Number ation Date: Expira Must not be expired. N Name Appearing on ID D Document To receive e a national goveernment ID, you ccompleted a carefful screening process. Hence H only one C Class A photo ID is needed to provve your identity. Examples s are passport or national driver’s license such as those issued in the UK or EU. Invalid O Option: A Driverr's License issued in n the USA is NOT a va alid Class A ID since it iis issued by a state. Questions s about ID’s or fillin ng out the form? Contact: 87 77-855-7233 OPTION 2 / ID #1 O OPTION 2: Use a CLASS B – Repu utable Photo ID as a your primary form f of identificattion and a secon nd ID. Type of Document Circle one e (e.g., driver’s license) Photo: Y N Photo Req quired Issued By Serial Number If using credit card, s provide last 4 digits Expiration Date: Mustt not be expired Question ns about ID’s or filling out the form? ? Contact: 877-855-7233 8 Name Appearing on ID Document OPTION 2 / ID # 2 The prim mary ID must be a photo ID such a as driver’s license e, employee ID with photto or a credit cardd with photo. Type of Document Circle One e (e.g., credit card) Photo: Y N Photo Opttional Issued By Serial Number If using credit card, s provide last 4 digits Name Appearing on ID Document G GO TO NEXT PAGE E OF FORM TO CO OMPLETE Since the ere was less screeening than Class A to receive a Classs B ID, a second ID must be b presented. Thee second ID may b be Class B or Class C. Class C is an ID issued by a reputable party without a photo. Social Security C Card withouut a photo are Classs C ID’s. Card or Credit Question ns about ID’s or filling out the form? ? Contact: 877-855-7233 8 Expiration Date: Mustt not be expired Verizon Identity Verification: V No otary Process USER INFO Applicant Na ame Applicant Signature ned in presence Must be sign of a Notary or o Trusted Agent Date: I hereby co onfirm that on the above a date, the App plicant personally appeared a before me, m signed the docu ument in my presence, and presented identity documentt(s), one of which was w a photo ID issued by a reputable p party. Please che eck that this 2-page e form is completed d correctly or this application a will be rejected. r Name of Applicant AGENT Name of Age ent Organization n Notary? Address City: State: Telephone Zip: County: e-Mail Addre ess Agent Signa ature Date: NOTARIZ ZATION SEA ALTO BE ADD DED BELOW W RAISED SEAL RUB BBER SEAL
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