Tech Providers Application Forms

Types of authorization for which application and approval are required in order to offer technology services to North Carolina notaries:

• IPEN – An in-person electronic notary solution, comprised of an electronic notary public seal, an electronic notary signature, and an electronic notary journal.
• Platform – The online platform utilizing the communication technology, credential analysis, and identity proofing and including communication technology recordings, geolocation, electronic journals, and depository services to perform the remote electronic notarial act.
• Credential analysis – A process or service through which a third‑party vendor performs a remote analysis of the characteristics and security features of each identification of the remotely located principal pursuant to G.S. 10B‑3(22)a.
• Identity proofing – A process or service through which a third‑party vendor affirms the identity of a remotely located principal through review of personal information from public or proprietary data sources.
• Custodian – The person providing the custodial services. Custodial services provide long‑term storage of the electronic journal and communications technology recordings. The custodian may but need not be the same as the depository.

Below are fillable PDF forms you may need. Your answers in Form NB-0422 will direct you to additional forms. Download forms to your computer before completing or signing them. The signature fields only work when the form is opened in Adobe Acrobat or another PDF application, not in your web browser.

NB-0422 General Application Form (PDF)
NB-0422-4 Product Information (PDF)
NB-0402-A IPEN-Platform – Key Individual Information (PDF)
NB-0402-B Other Tech – Compliance Contact & Key Individual Information (PDF)
NJ-0405 Notary Services in Other Jurisdictions (PDF)
NJ-0408-12 Vendors & Supporting Businesses (PDF)
NJ-0413 Certifications & Compliance Reports (PDF)
NJ-0414 Civil Legal Action, Debarment, & Voluntary Exclusion in Lieu of Debarment (PDF)
NJ-0418 Disciplinary Action, Denial, & Resignation (PDF)

Supplemental forms (if applicable) for IPENs and Platforms: