Montana Municipal Interlocal Authority
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
as it appears on the commission (notary stamp)
Address:
City:
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 amount.
None $10,000 $15,000 $25,000 $50,000 $100,000


You may submit this form online by hitting the SUBMIT button. REMEMBER TO PRINT A COPY FOR YOURSELF PRIOR TO HITTING THE SUBMIT BUTTON! You may also choose to fax a hard copy


Heidi Newell, CSRM
Account Manager Lead
Alliant Insurance Services Inc.
Phone# 949-660-8134
Fax# 619-699-0906

Please type the code, then press submit