Become a Notary or Renew Notary – old Complete this application to become a notary or to renew your commission 1Personal Information2Qualifications3Affidavit of Character4Oath of Office5Review and Submit Personal Information The information you type below will be printed on your notary application and will be used to file the application with the Florida Department of State. At the end of the application process, you will have the option to pay for notary bond, select notary supplies, view, edit, and print your application. The information you provide on this page is secure and will be encrypted for your protection.Name to be commissioned under* First Name Middle Name Last Name Suffix Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonCountyPhone Number*Email Address* Enter Email Confirm Email Business Information* Employed Unemployed Retired Company Name* Enter Your Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonCountyWhat address would you like the Governor Office to mail you correspondence?* Home Business Other Please provide an address for mailing correspondence. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code State Required Information*Race:* White Black or African American Native American or Alaka Native Asian This information is required by the state of Florida in order to process your notary application.Gender* Male Female Social Security Number* Driver License Number* Date of Birth* MM slash DD slash YYYY Issuing State*AlbamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginia[WashingtonWest VirginiaWisconsinWyoming Qualifications Are you 18 years of age or older?* Yes No The applicant must be 18 years or older to apply for a notary commission. Are you a legal resident of Florida?* Yes No The applicant must reside in the state of Florida to apply for a notary commission. Are you a United States Citizen?* Yes No The applicant must submit a recorded declaration of domicile. Obtain this document from your county courthouse. Are you a Wartime Veteran with a disability rating of 50 percent or more?* Yes No Applicant must submit a written request for fee reduction and provide proof of excemption. Are you or have you ever been commissioned to be a Notary Public in the State of Florida?* Yes No If no, as a reminder, you must complete a three hour notary education course and submit a signed certificate of completion (CH.668.50(11)F.S.) Please provide the followingCommission Expiration MM slash DD slash YYYY Commission Series Commission Number Commission Name First Last Have you held any professional licenses or commissions (other than Notary Public) in Florida during the past 10 years?* Yes No List licenses or commissions here Have any been revoked?* Yes No Revoked Reason Have you been discipined by a regulatory agency, including the Florida Bar, and including disciplinary action that is confidential?* Yes No You must submit a written statement about the nature of the action and any supporting documentation, such as a copy of the Final Order from the regulatory agency. Have you ever been convicted of a felony, or had an abjudication of guilt withheld for a felony offense?* Yes No You must submit a written statement of the nature of the offense(s) and a copy of the court judgment and sentencing order. If convicted, you must submit a certificate of Restoration of Civil Rights. Are you currently on probation?* Yes No you must submit a written statement of the nature of the offense(s) for which you have been placed on probation. As a general matter, applications for all positions within state government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to social security numbers, past and present law enforcement officers and their families, victims of certain crimes, etc.IF YOU BELIEVE AN EXEMPTION FROM THE PUBLIC RECORDS LAW APPLIES TO YOUR FLORIDA NOTARY PUBLIC COMMISSION APPLICATION SUBMISSION, PLEASE CHECK "YES" BELOW, OTHERWISE CHECK "NO":* Yes No * I assert that identifying information provided in this application (other than my social security number, which I am aware is automatically exempt from public disclosure, pursuant to Fla. Stat. Section 119.071(5)(a)5) should be excluded from inspection under Public Records Law: Affidavit of Character The affidavit of character section is to be completed by someone who is not related to you and has known you for at least one year. Click the Next button below to skip this section and fill it out manually when you print the application form.Affiant Full Name Phone NumberAffiant's Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State County Where this Affadavit is SignedAlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonCounty Oath of Office I do solemnly swear (or affirm) that I will support, protect, and defend the Constitution and Government of the United States and of the State of Florida; that I am duly qualified to hold office under the Constitution of the state; that I have read Chapter 117, Florida Statutes, and any amendments thereto, and know the duties, responsibilities, limitations, and powers of a notary public; and that I will well and faithfully perform the duties of Notary Public, State of Florida, on which I am now about to enter. (So help you God)?UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING APPLICATION AND OATH AND THAT THE FACTS STATED THEREIN ARE TRUE?I accept the office of Notary Public, State of Florida* I Agree Name to be used as a Notary* Legal First Name Legal Last Name County Name Where Oath is Taken*AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonCounty You have successfully completed your Florida Notary Application. Click the “Review Application” button below to generate your completed PDF application and proceed to the next step.
