APOSTILLE AND CERTIFICATION
REQUEST
Form AC-1
Rev. 11/2022
West Virginia Secretary of State
Licensing Division
Tel: (304)558-8000
Fax: (304)558-8381
Website: www.wvsos.gov
FILING FEE: $10 for the first document
$5 for each additional document
Below are a list of requirements, and information needed to complete the authentication request.
Please read the following carefully to ensure proper processing of your documents.
Please complete this form and return it with your document and proper fee ($10 for the first document, $5 for each additional
document.)
1) Make check or money order for the exact amount of the service payable to: WV Secretary of State.
2) Notary statement information must be complete. Please see the notary information on our Authentication of Documents
web page to see examples of notary acknowledgment statements that must accompany a notarization.
Please complete the information below regarding your authentication request:
Name of person or company requesting:
Address:
City:
State:
Zip Code:
Telephone Number:
Email Address:
Destination of Document (Country to be used):
Number of Documents:
Fee Enclosed:
Signature:
Date:
If you have any further questions you may contact our office toll free at 1-866-767-8683.
IMPORTANT: If you would like the document(s) returned to you any way other than by regular USPS mail, please
enclose a prepaid envelope.
Submit this completed form, the document(s) to be authenticated, and proper fee to one of the locations below:
Martinsburg Office:
Eastern Panhandle Business Hub
229 E. Martin Street
Martinsburg, WV 25401
Phone: (304) 356-2654
Clarksburg Office:
North Central WV Business Hub
153 West Main Street
Suite G- Third Floor
Clarksburg, WV 26301
Phone: (304) 367-2775
Fax: (304) 627-2243
Hours: Mon. -Fri. 9:00a - 5:00p EST
Fax: (304) 260-4360
Hours: Mon. - Fri. 9:00a - 5:00p EST
Charleston Offices:
West Virginia Secretary of State
Business & Licensing Division 1900
Kanawha Blvd. East
Bldg. 1, Ste. 157-K
Charleston, WV 25305
Phone: 304-558-8000
Fax: (304) 558-8381
Hours: Mon. - Fri. 8:30a - 5:00p EST
One-Stop Business Center
13 Kanawha Blvd. West
Suite 201
Charleston, WV 253
02
Phone: (304) 558-8000
Fax: (304) 558-8381
Hours: Mon. - Fri. 8:30a - 5:00p EST
