Template for Notarized Letter

Template for Signing Official

NB: Copy the template below onto the official letterhead of the institution of the signing official. Examples of appropriate signing officials include, and are not limited to, a department chair, dean, organization president, school principal, or other official of your institution.


On (date), before me, (print signing official’s name here), personally appeared (print researcher’s name here). As an official representative of (institution), I attest that (print researcher’s name here) is personally known to me and is a member in good standing of our institution.

Signature of signing official:

Name of signing official:

Official title of signing official:

Contact information for signing official:


Download this template as a Word Doc

Need More Help!

Try posting a question to our Forum.

Let us know what was unclear or what has not been covered. Reader feedback is key to making the documentation better, so please let us know or open an issue in our Github repository (Sage-Bionetworks/synapseDocs).

2017 Sage Bionetworks Contact us Creative Commons License