Apos Auth Request Form
Apos Auth Request Form
Name of requester:________________________________________________________________________________
Address of requester:______________________________________________________________________________
Visa MasterCard
________________________________________________
Expiration Date:_________________________________________________________
Delivery method requested:________________________________________________________________________
______________________________________________________________________________________________
A shipping label is required for documents that you are requesting this office to mail out of the United States.
Any forms required by U.S. Customs are the responsibility of the requester.
If requesting delivery by courier service, please be sure to include the shipping label with your account information.
*Checks and money orders should be made payable to the Secretary of State in U.S. funds.
Submit request together with documents requiring special certification to: