Notary Public Bond Application

 Access through this program is available ONLY to MMIA member city/town employees. This is a service provided by Alliant Insurance Services NOT MMIA.

  
Are you currently a notary?

YES
NO

 

Full Name:

Email:        

as it appears on the commission (notary stamp)

Address:    

City:            

State:        

Zip:            

County of Residence: 


Effective Date of Commission:      

Commission Expiration Date:        

MMIA Member City/Town Name:  

 

Do you acknowledge that you are submitting this application to purchase Notary Bond Insurance?

YES
NO

 

If you would like to purchase Notary Errors & Omissions Insurance to protect you when performing your duties as a notary, please select the dollar amount.

NONE
10000
15000
25000
50000
100000

 

You may submit this form online by clicking SUBMIT below.  You will be emailed a copy of this application if you enter your email address above.


Eve Wildhagen, CSRM
Account Manager
Alliant Insurance Services Inc.
Phone# 949-260-5007
Fax# 619-699-0906

 


Enter the code shown above:


Submit
(800) 635 3089


MMIA Events Calendar

Send Documents

Contact Us

For general questions, comments or concerns, please contact customer service.

  • 3115 McHugh Dr.
    PO Box 6669
    Helena, MT 59604-6669

  • (800) 635 3089

  • FAX: (406) 449-7440