I-9 Service Request

I-9 Service Request

Use this form to schedule an authorized representative to complete Section 2 of the federal Form I-9 for remote employment verification. This service does not include notarization unless specifically required by your employer.
TEMPORARY AVAILABILITY NOTICE
White Rose Notary Services is currently unavailable for appointments through October 13, 2026. Our next available appointment date is October 14, 2026.

Please continue only if service on or after October 14 meets your needs. Requests for future appointments and estimates may still be submitted.
Submission Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Who is completing this form
Name

First NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
fbbnotary@gmail.com
Company Name
Name of Company requesting service.
Company Phone
Company Email
Company Contact Person
Your client's Name (For Internal Reference Only)

First NameLast Name
Your Client's Phone ( Helps with scheduling)
Your Clients Email (Helps with scheduling)
Select/Input Other Services being Requested
Give us more details so we may best serve you:
Service Location
Travel Fee
Travel Fee Calculated
Confirm Full Address
please input service address again to ensure accuracy.
I-9 Appointment
Fee to Schedule
Required at least 2 hours before appointment to avoice forfeiting appointment. Deducted from full service fee.
Payment Method-Individual
Payment Method-Entity
Override
Approved Fee
Credit Card Scheduling Fee
Venmo Scheduling Fee
Scheduling Fee Due
Venmo Total Due
Credit Card Total Due
Service Estimate Total
Parking Fee will be added to the total at the appointment when appropriate.
White Rose Notary Services
Stripe

Revised?

Other
Should be Empty:

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

I-9 Service Request

Service Fee