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  • The US Department of State fee is:
    $20 per document.
  • The estimate processing time is:
    45 business days.

Please fill the form arrow

If you a question about your document,
call (202) 485-8000 .

U.S. Department of State

REQUEST FOR AUTHENTICATIONS SERVICE

SECTION 1: CUSTOMER CONTACT INFORMATION




Formal Mailing Address


SECTION 2: COURIER/REPRESENTATIVE CONTACT INFORMATION



SECTION 3: SHIPPING DETAILS (FOR MAILED IN REQUESTS ONLY)

Delivery Method



Shipping Address


Shipping Address


SECTION 4: DOCUMENT INFORMATION (CONTINUED ON NEXT PAGE)

Country

Number of Documents

Document Type

Document Label (Official Use Only)





SECTION 5: PROJECTED COST





DS-4194
02-2012

Page 1 of 2




SECTION 4: ADDITIONAL DOCUMENTS (CONTINUED)

Country

Number of Documents

Document Type

Document Label (Official Use Only)





































DS-4194

Page 2 of 2



U.S. Department of State

REQUEST FOR AUTHENTICATIONS SERVICE

INSTRUCTIONS

PURPOSE

Form DS-4194 is used by the U. S. Department of State for documents submitted by U.S. citizens and foreign nationals.The Authentications Office is
responsible for signing and issuing certificates under the Seal of the U. S. Department of State for documents being submitted to foreign countries.

INSTRUCTIONS

Complete one copy of this form for yourself or your company to be submitted with your documents and payment. You must submit a new cover letter
for each request. Failure to do so will result in your case being rejected and documents being returned.

WARNING

Any false statement or concealment of a material fact may result in a delay or un-authenticated documentation.

FORM

DS-4194


SECTION 1: REQUESTOR'S CONTACT INFORMATION

Provide individual's full name or company's name (complete spelling). Indicate e-mail address; telephone number(s) home,
work and/or cell.

If the document(s) were mailed or hand carried for a Federal Agency for Official Government business please indicate agency name, bureau and/or office acronyms. Provide formal mailing address(include street address, city or town, zip code, province or country) .


SECTION 2: SUBMITTER'S CONTACT INFORMATION

If you are submitting/or retrieving a request on behalf of someone other than yourself or a company, please provide specific and detailed information.
The full name of the individual's or company's name is required to properly search the database.

If you are retrieving document(s) your name must appear in section 2 of the intake form and State issued identification is required

Provide individual's full name or company's name (complete spelling). Indicate e-mail address; telephone number(s) day time, evening or cell number


SECTION 3: METHOD OF RETURN (MAIL-IN)

Indicate delivery method (type of mail service used to return the document). If this information is available, provide a tracking number and include all
letters and numbers (i.e., DOS, USPS, FED/EX, UPS, DHL & Others). Indicate the complete address that the document (s) will be returned to
for proper delivery.

It is imperative that the complete address is entered accurately! (i.e., street address, city, state, ZIP code & country). REVIEW INFORMATION FOR ACCURACY!

Please note: All documents submitted will be returned to one location


SECTION 4: DOCUMENT INFORMATION

Indicate the country (or countries) of use, the number of documents, and the document type. (A maximum of 15 documents are allowed per
customer/company person for walk-in services).


SECTION 5: METHOD OF PAYMENT

Please note: The authentication processing fee is $8.00 per document, not per page. This fee will be charged regardless of whether you receive an
authentication certification or a correspondence letter. This change in policy will take effect on April 1, 2012. Please pay the total amount shown in the
estimated cost field. (The exact amount is required.)

Allowable payment methods include U.S. Postal Money Orders, checks (personal, corporate, certified, cashiers, travelers) all payable to "U.S.
Department of State."

Walk-in service only: In addition to the payment methods noted above; Credit Cards and Debit/Check Cards (VISA, MasterCard, American Express, Discover) are accepted.

DS-4194
02-2012

Instructions Page 1 of 1







By choosing FedEx shipping, you will receive an email confirming the delivery to the embassy, and another email when the embassy release the document back to FedEx to be shipped back to you.





Example

ORIGIN ID:GBOA 


United States

Ship Date : 100CT

ACTVVGT: 0.20 LB

CAD:119084289/WSXI3400

BILL SENDER


TO

,

REF:

INV:

PO: DEPT:

5678fgh657

barcode2
barcode
fedex

TRK#
0201
7946 3138 7730

SE GBOA

TUE - 12 MAR 4:30P
** 2DAY **
12345
ghgjg - US
fedex

Example

ORIGIN ID:GBOA 


,

United States

Ship Date : 100CT

ACTVVGT: 0.20 LB

CAD:119084289/WSXI3400

BILL SENDER


TO

REF:

INV:

PO: DEPT:

5678fgh657

barcode2
barcode
fedex

TRK#
0201
7946 3138 7730

SE GBOA

TUE - 12 MAR 4:30P
** 2DAY **
fedex

Package status and timeline:

visa mastercard amex

chip pin world bank | U.S. 123-456 INT 123-456

/