DC

60-

kansas secretary of state

Request for Document

Certification (Apostille/Authentication)

Memorial Hall, 1st Floor

120 S.W. 10th Avenue

Topeka, KS 66612-1594

(785) 296-4564

notary@ks.gov

www.sos.ks.gov

Please complete the form,print,and mail to the kansas
Secretary of State with the filling fee, Selecting "Print"
will print the form and "Reset" will clear the entire form.

THIS SPACE FOR OFFICE USE ONLY

Note: Document(s) needing certification must be enclosed. Certification requests are generally processed within
3-5 business days from the date they are received in our office. Requests for certification should be mailed to the
Secretary of State at the address above.

1. Name of requestor:

Name

2. Document type:

(E.G. Birth Certificate, Power of Attorney, High School Diploma, etc.)

3. Name of foreign country requesting certification:

Country

4. Contact phone number:

Phone

5. Contact email:

6. Payment information: (The fee for certification is $7.50 for each document that is sent in.)

(Checks and money orders
should be made payable to the
Kansas Secretary of State.)

Credit Card Number

Expiration Date (MM/YYYY)

Billing Zip Code

7. Method of return of certified documents:

I have enclosed a self-addressed pre-paid envelope.

FedEx First Overnight

FedEx Standard Overnight

FedEx 2Day

FedEx International Priority

UPS (United States only)

FedEx account number:

UPS account number:

Return address for
FedEx or UPS delivery:

Name

Address

City

State

Zip

Country

1 / 1

K.S.A. 53-401

Rev. 10/17/18 tc

A document issued and signed by the state of Kansas

Please fill the form

DC

60-

kansas secretary of state

Request for Document