Dear Sir o or Madam:  Thank yo u for applyin

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