Notary Public
Commission Application
Apply for commission as a Notary Public:
Online: https://professions.dol.wa.gov
Or by mail: Notary Public Program
Department of Licensing
PO Box 3777
Seattle WA 98124-3777
If you apply by mail, include:
• This completed form
• The non-refundable application fee in a check or money order payable to: Department of Licensing
• A copy of your signed $10,000 surety bond
For questions or language help call: (360) 664-1550
Application type (choose one only)
New application for Notary Public commission only – $40
New application for Notary Public commission with electronic notary endorsement – $55
Licenses are available for self-printing with an online account.
If you want us to print and mail your license add a $5 print fee for each copy to your payment.
$0 self-print license online.
$5 each. DOL print and mail license. Quantity Total $
Eligibility question – If you answer “No” to this question, you can’t apply. Application fees won’t
be refunded.
Answer the following
Can you read and write English? ................................................ Yes No
Applicant information
TYPE OR PRINT Notary commission name (Name as you would like it to appear on your notary seal/ license as allowed in WAC 308-30-030(2))
Full legal name (First, Middle, Last) No initials
Birthdate (mm / dd / yyyy) Social Security number (SSN) or Individual Taxpayer Identication Number (ITIN)*
Personal mailing address (PO Box or street including apartment/suite #, City, State, ZIP code)
10-digit
phone number Email
Military? (check if applicable)
Current or former: Military member Military spouse or domestic partner
Previous license?
Have you ever applied for or been a Notary Public in the state of Washington? ............ Yes No
If yes, under what name or license numbers?
Residency
I am a Washington resident.
I am not a Washington resident, but I have a place of employment or practice in Washington.
The Washington physical address of my place of employment or practice is:
*You are not required to have a Social Security Number (SSN) or Individual Taxpayer Identication Number (ITIN or TIN) to apply for or be issued a
license. If you do not have an SSN or ITIN, leave that section blank. If you do have a SSN, ITIN or TIN, you are required by federal and state law to
provide it on the application (42 U.S.C. 666(a)(13) and RCW 74.20A.320).
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Legal background
Answer the following
Answer the questions below. If you answer “Yes,” attach a detailed explanation.
1. Within the last 5 years, in this state or any other jurisdiction, have you had any action
(ne, suspension, revocation, censure, surrender, etc.) taken against any professional
or occupational license, certication, or permit held by you? ......................... Yes No
2. Within the last 5 years, in this state or any other jurisdiction, have you defaulted, or been
convicted of, or entered a plea of no contest to a gross misdemeanor or felony crime?
(Don’t include trac convictions.).............................................. Yes No
Electronic Notary endorsement – Complete this section only if you are requesting this endorsement
If you have electronic software, provide the name and eective date (date you will begin using the software).
Name of electronic software Eective date
If you don’t have an electronic software provider at this time:
• You must provide this information within 30 days of the issue date of your Notary Public commission.
• If you fail to do so, we may take disciplinary action against your commission, which may include revoking
your endorsement.
• You can’t perform any electronic notarizations until you have provided us with the name of the
electronic software you will be using.
• Submit the name of your electronic software either:
• Online at professions.dol.wa.gov. Access your account using the requested login information, then
select Add under the Requirements section of your account dashboard.
• Email to [email protected]. Include your Notary Public commission name and license number in
the email.
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X
Applicant:
Sign and date here
in front of a notary
Important!
You (the Notary Public applicant) must complete this page in front of a Notary Public.
If all of the instructions below are not followed correctly, you will have to complete and submit a
new Oath of Oce and your Notary Public commission will be delayed.
Instructions for the applicant
1. The Notary Public will properly identify you and place you under oath.
2. After the Notary places you under oath, you must:
• Swear to or arm that the information in the Oath of Oce is true.
• Print your Notary commission name on the Oath as you would like it to appear on your notary seal/license
as allowed in WAC 308-30-030(2). This must match as it appears on your online application.
• Sign the Oath in front of the Notary with your Notary commission name.
• Date the Oath in front of the Notary.
Instructions for the licensed notary public
1. Conrm the identity of the applicant and place them under oath.
2. Have the applicant swear to or arm the information in the Oath of Oce.
3. Have the applicant sign and date the Oath of Oce.
4. Complete the notarial certicate including county, date, and your signature.
5. Date the Oath. This date must match the date the applicant signed.
6. Sign your name exactly as it appears on your stamp or seal.
7. Print your name under your signature. Your title is “Notary Public.”
8. Fill in the expiration date for your Notary Public appointment.
9. Ax your stamp or seal in the space indicated.
Failure to follow any of these instructions by you or the Notary will result in the delay of your license.
Oath of Ofce
I,
, solemnly swear or arm under
penalty of perjury that the personal information I have provided in this application is true, complete, and correct;
that I have carefully read the materials available at the Notary Public website describing the duties of a notary
public in and for the state of Washington; and, that I will perform to the best of my ability, all notarial acts in
accordance with the law and rules. I have carefully read the questions in the foregoing application and have
answered them completely, and pursuant to RCW 9A.72.085, I declare under penalty of perjury under the law of
the state of Washington that my answers and all statements made by me herein are true and correct. Should I
furnish any false information in this application, I hereby agree that such act shall constitute cause for the denial,
suspension or revocation of my appointment as a notary public in the state of Washington.
Sign using your Notary commission name Date signed
State of Washington
County of
On this day, , appeared before me,
signed this Oath of Oce, and swore (or armed) that they understood its contents and that its contents are truthful.
Signature
(Seal or stamp)
Printed or stamped name
Title
My commission expires
Applicant: Print your notary commission name
Date Applicant full legal name
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