Verizon Identity Ve
erification: Notary Pro
ocess
Co
over Letter
Dear Sir o
or Madam:
Thank you for applyinng 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
completee and submit the attached d 2‐page Nottary Form.
The attacched 4‐step cchecklist will gguide you through the prrocess. To avo oid delays an
nd resubmisssion
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.
Once youu submit yourr Notary Formm, informatio on about thee status of yo
our account w
will be sent viia
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.
You probab bly have the necessary ID’s in your wallet. For example, in the US a d driver’s licensee and
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)
ore options on page 1 of the
Review mo 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.
3. Meet with the
M Notary and co
omplete the 2‐‐page Notary FForm.
Have the N our identity byy examining yyour identity document(s)
Notary verify yo
Complete a n requested on the Applicattion Form. If you have questtions, please
all information
contact us to review.
e Application Forms will be
Incomplete e rejected.
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 WAASHINGTON ST
NEWTON N MA 02460-11701
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
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 To receivee a national goveernment ID, you ccompleted a carefful screening
(e
e.g., passport) Photo: Y N process. Hence
H only one C Class A photo ID is needed to provve your identity.
Photo Requ
uired Examples s are passport or national driver’s license such as those issued in
the UK or EU.
OPTION 1 / ID #1
Is
ssued By
Invalid O
Option:
A Driverr's License
issued in n the USA is
S
Serial Number NOT a va alid Class A ID
ation Date:
Expira since it iis issued by a
Must not be expired. state.
N
Name Appearing on Questions s about ID’s or fillin
ng out the form?
ID
D Document Contact: 87
77-855-7233
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 The prim
mary ID must be a photo ID such a as driver’s license
e, employee ID
(e.g., driver’s Photo: Y N with photto or a credit cardd with photo.
OPTION 2 / ID #1
license) Photo Req
quired
Issued By
Serial Number
If using credit card,
s
provide last 4 digits Expiration Date:
Mustt not be expired
Name Appearing Questionns about ID’s or filling out the form?
?
on ID Document Contact: 877-855-7233
8
Type of Document Circle One
e
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.
(e.g., credit card) Photo: Y N
Photo Opttional
Class C is an ID issued by a reputable party without a photo. Social Security
OPTION 2 / ID # 2
Issued By
Card or Credit
C Card withouut a photo are Classs C ID’s.
Questionns about ID’s or filling out the form?
?
Serial Number Contact: 877-855-7233
8
If using credit card,
s
provide last 4 digits Expiration Date:
Mustt not be expired
Name Appearing
on ID Document
G
GO TO NEXT PAGE
E OF FORM TO CO
OMPLETE
Verizon Identity Verification:
V No
otary Process
Applicant Na
ame
USER INFO
Applicant Signature Date:
Must be signned in presence
of a Notary or
o Trusted Agent
I hereby co
onfirm that on the above
a date, the App
plicant personally appeared
a before me,
m signed the docuument 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
Name of Age
ent
Organization
n Notary?
AGENT
Address City:
State: Zip:
Telephone County:
e-Mail Addre
ess
Agent Signa
ature Date:
NOTARIZ
ZATION SEA
ALTO BE ADD
DED BELOW
W
RAISED SEAL RUB
BBER SEAL
