Office of the Lieutenant Governor · St. Thomas · U.S. Virgin Islands

Notarize Office of the Lieutenant Governor documents online — in minutes

Connect with a commissioned online notary for any Office of the Lieutenant Governor city form. No appointment and no driving — your documents are notarized remotely, by video, from anywhere.

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Office of the Lieutenant Governor forms you can notarize online

These Office of the Lieutenant Governor forms include notarized sections or an option to notarize. Check the form instructions and confirm the receiving office accepts an electronically notarized document before booking.

Affidavit of Lost Instrument

This affidavit lets an account owner report a missing passbook or other instrument and request payment of presumed-abandoned funds held in trust by the Administrator.

Affidavit of Lost Instrument (Power of Attorney)

This affidavit lets an attorney-in-fact request payment of an abandoned account held in trust after being unable to locate its passbook or other instrument.

Affidavit of Translation

This affidavit lets a translator or verifier attest to fluency in English and another language and certify that an attached document’s translation is true, complete, and accurate.

Affidavit Payment of Certain Debts Without Administration

This affidavit lets a claimant provide information about a deceased person and certain payments when seeking payment of debts without administration through the Office of the Lieutenant Governor’s Division of Banking, Insurance and Financial Regulation.

Appointment of Insurance Producer

This two-part form lets an insurance company request authorization to appoint a producer and lets the producer agree to serve in the U.S. Virgin Islands.

Appointment of Solicitor

This form lets an insurance producer appoint a solicitor to solicit and accept insurance applications in the U.S. Virgin Islands, with the solicitor signing an agreement before a notary.

Consent of Agent for Service of Process

This form records a resident agent’s consent to accept service of process for a company and is filed with the Office of the Lieutenant Governor’s Division of Corporations and Trademarks.

Affidavit of Lost Instrument (Deceased Owner)

This affidavit lets a claimant request payment of a presumed-abandoned account held in trust when the deceased record owner’s passbook or other account instrument cannot be located.

Insurance Company Certificate of Authority Application Package

This 25-page package gathers applications, affidavits, appointments, and supporting documents an insurance company submits to the U.S. Virgin Islands Division of Banking, Insurance and Financial Regulation to seek a Certificate of Authority.

Insurance Holding Company Reporting Forms A–F

This six-form packet supports insurance holding company filings, including acquisition statements, annual registrations, change summaries, transaction notices, and enterprise risk information submitted to the Insurance Department.

Notary Commission Application Affidavit

This one-page affidavit supports an applicant’s request for a Notary Public Commission from the Government of the Virgin Islands Office of the Lieutenant Governor.

Notary Public Oath of Office

This oath form records an applicant’s promise to support applicable laws and faithfully perform notary duties, and is filed with the Office of the Lieutenant Governor’s Notaries Public Division.

Certificates and Schedules for Reinsurance Compliance

This 15-page packet contains certificates and reporting schedules for assuming insurers and reinsurers submitting information under the Virgin Islands Credit for Reinsurance Act.

Resident Agent Form for Service of Process

The Office of the Lieutenant Governor’s Division of Corporations and Trademarks uses this form for a designated resident agent to consent to receive service of process for a company.

Original Application for Third Party Administrator

This four-page application is for an organization seeking a third-party administrator license from the U.S. Virgin Islands Office of the Commissioner of Insurance.

Third Party Administrator Renewal Application

This application requests renewal of a Third Party Administrator license from the U.S. Virgin Islands Division of Banking, Insurance and Financial Regulation.

Forms for Office of the Lieutenant Governor residents (no notary required)

Official local and statewide documents you can download and submit yourself. Each listing identifies its issuing authority and submission instructions.

No notary required

Banking Complaint Form

Bank customers, borrowers, trustees, and others can use this form to file a complaint about a bank or banking-related matter.

form

No notary required

Business and Trade Name Authorization Letter (Principals and Authorized Persons)

This letter identifies a principal or authorized person entitled to claim ownership or filing privileges for certain business registrations processed by the Division of Corporations and Trademarks.

form

No notary required

Certificate of Authority Renewal Application

Insurance companies and other listed organizations use this application to renew a Certificate of Authority, Certificate of Licensure, or permit in the U.S. Virgin Islands.

application

No notary required

Claim of Abandoned Property (Deceased)

This form lets a claimant request abandoned property associated with a deceased person from the Office of the Lieutenant Governor’s Division of Banking, Insurance and Financial Regulation.

form

No notary required

Claim of Abandoned Property

This form lets a claimant request abandoned property from an institution through the Office of the Lieutenant Governor’s Division of Banking, Insurance and Financial Regulation.

form

No notary required

Collections Document Request

Property owners or their representatives use this form to request tax bill or paid receipt reprints, tax status reports, or tax clearance certificates.

form

No notary required

Renewal Insurance Application for Residents or Non-Residents (Individual)

Individual resident and non-resident insurance licensees use this application to request renewal and provide licensing, contact, background, and certification information.

application

No notary required

Insurance Complaint Form

The Insurance Complaint Form lets a complainant report an insurance-related issue to the Office of the Lieutenant Governor’s Division of Banking, Insurance and Financial Regulation.

form

No notary required

Original Insurance Application for Resident or Non-Resident Business Entities

Business entities use this application to seek an original insurance license as a resident or non-resident for the license types listed on the form.

application

No notary required

Original Insurance Application for Residents or Non-Residents (Individual)

Individuals seeking an original U.S. Virgin Islands insurance license use this application to provide licensing, personal, work history, and background information.

application

No notary required

Renewal Insurance Application for Business Entities

Business entities use this application to renew resident or non-resident insurance licenses through the Division of Banking, Insurance and Financial Regulation.

application

No notary required

Single-Use Credit Card Authorization Form

This form lets a cardholder authorize the Division of Real Property Tax to charge a credit card for an amount applied to a parcel or another purpose.

form

No notary required

Single-Use Credit Card Authorization for Payment Plans

This authorization lets a cardholder provide payment and card details for a single-use credit card charge related to a payment plan.

form

No notary required

Third Party Administrator Bond

This bond is completed by a third-party administrator applicant and its surety to guarantee covered claims or legal obligations arising from the applicant’s operations.

agreement

No notary required

Business and Trade Name Authorization Letter (Trade Name Owners)

This form identifies owners or authorized representatives who may claim ownership or submit filings for eligible trade name registrations processed before August 31, 2018.

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