Get Pki Out Of State Certificate Application ... - State Of Illinois - Outofstate Pki Illinois

Completing the PKI Out of State Certificate Application is essential for individuals requiring the appropriate credentials for digital certificates in Illinois. This guide will walk you through each section of the form, providing detailed instructions to ensure a smooth and efficient application process.

Follow the steps to effectively complete your application form.

1. Press the ‘Get Form’ button to access the application form and open it in your document editor.
2. Fill out Part I — Requestor Information: Begin with the required fields. Enter your last name, middle name, and first name. Next, provide your date of birth in the mm/dd/yyyy format, followed by the state abbreviation along with your driver or state identification card number.
3. Complete the required fields about your contact information. Include your work-related email address, along with your office address and phone number. Ensure all details are correctly entered.
4. In the section titled 'Home Address / Phone,' enter your residential address and a phone number where you can be reached.
5. For security purposes, select a question and provide an answer that is memorable for you but difficult for others to guess. For example, consider personal experiences or favorites.
6. Sign and date the requestor’s signature line, certifying that you understand the usage policies. Make sure to print your name below this section.
7. The notary must complete their section: provide the notary's printed name, their signature, and date. Ensure the notary's stamp or seal is affixed unless you reside in exempt states.
8. Lastly, the form will include an area for the CMS LRA’s signature and date, which is for internal use. After completing all sections, review your application for accuracy.
9. Once all necessary information has been entered, you can save your changes, download the completed form, or print it directly for submission.

Start completing your PKI Out of State Certificate Application online today.