OFFICE OF THE LIEUTENANT GOVERNOR

State Capitol, Fifth Floor

Honolulu, Hawaii 96813

Phone: (808) 586-0255

Fax: (808) 586-0231

email: ltgov.contact@hawaii.gov

www.hawaii.gov/ltgov

JOSHUA B. GREEN

LIEUTENANT GOVERNOR

Application for Apostille or Certification of Documents

STATEMENT OF LEGAL EFFECT OF APOSTILLE

Apostilles certify only that a document has been signed by, and bears the seal and stamp of, a duly commissioned Notary Public of the State of Hawaii. An Apostille does not validate the substance, contents, and/or legal effect of the document, nor that the document has been approved and/or endorsed by the Lieutenant Governor, the State of Hawaii, or any court of competent jurisdiction.

Name :

Address :

Pick-Up : Mail :

City, State, Zip Code :

Phone # :

Email Address (if any) :

Please identify the document(s) that you wish to have an Apostille/Certification affixed:
What foreign country will the document(s) be presented to:
For what purpose is the document being used:

ACKNOWLEDGEMENT & CERTIFICATION

I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE STATEMENT OF LEGAL
EFFECT OF APOSTILLE. I ALSO HEREBY CERTIFY UNDER PENALTY OF LAW THAT THE
INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT, AND THAT THE REQUESTED
APOSTILLE OR CERTIFICATION SHALL BE USED FOR PRESENTATION TO THE DESTINATION
COUNTRY NAMED ABOVE, AND FOR NO OTHER PURPOSE.

Signature

Date

Print Name

DO NOT COMPLETE THIS SECTION (FOR COMPLETION BY THE OFFICE OF THE LIEUTENANT
GOVERNOR)

APPROVED DISAPPROVED

Reviewed By

Comments:

Revised February 2018

Shipping Options

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