This legal template includes 13 fields. Service request form for scheduling document notarization appointments. Free to customize and use on ZenBuild.
Full Name (text, required)
Email (email, required)
Phone Number (text, required)
Document Type (dropdown selection, required) — options: Affidavit, Power of Attorney, Real Estate Deed, Trust Document, Will, Contract, Loan Documents, Medical Directive, Immigration Forms, Other
Number of Documents (number, required)
Number of Signatures to Notarize (number, required)
Appointment Type (dropdown selection, required) — options: In-Office, Mobile Notary (travel to you), Remote Online Notarization (RON)
Preferred Date (text, required)
Preferred Time (dropdown selection, required) — options: Morning (9am-12pm), Afternoon (12pm-3pm), Late Afternoon (3pm-5pm), Evening (5pm-7pm)
Location Address (if mobile) (text, optional)
All Signers Have Valid Photo ID (multiple choice, required) — options: Yes, No, Need to Check
Number of Signers (number, required)
Special Instructions or Notes (long text, optional)