Free Form to Accompany Requests - Wyoming

State Capitol Building, 200 West 24th Street Cheyenne, WY 82002 Ph. 307.777.5346

Wyoming Secretary of State

Wyoming Authentication Request
Contact Information: Date: ______________________ Contact Name: _________________________

Mailing Address: ________________________________________________________ Daytime Phone: ________________________ Country Documents are Needed for: ________________________________________
$0.00 Number of Documents to be Authenticated: _________ x $3.00 = _________________

Payment Information: Total Payment Enclosed: _____________________ Payment Method: ___ ___ ___ ___ Cash Check # _________________________________ Money Order # ____________________________ Cashier's Check # ___________________________

Document(s) Return Method: ___ ___ ___ ___ ___ Self-addressed Stamped Envelope Prepaid Federal Express Air Bill Prepaid UPS Air Bill Prepaid DHL Air Bill Will Pick-Up on (Date and Time): _________________________