State of Rhode Island and Providence Plantations

	State of Rhode Island and Providence Plantations Office of the Secretary of State
	Division Of Business Services 148 W. River Street Providence RI 02904-2615 (401) 222-3040

Certificate Request Form

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Certificates of good standing, legal existence, non-existence, letters of status and certificates of fact can be ordered using this online application. To order a certified copy of a filed document, please see the Procedure to obtain certified copies.

Request Information (Entity Name is only required for a Certificate of Non-Existence)

Click here to display prices and to display which certificates are valid for each type of entity.

ENTITY NAME

CERTIFICATE TYPE

Special Filing Instructions
Please indicate special filing instructions, if any, that apply to this form. (i.e. to be picked-up or special mailing instructions)
If no instructions are provided, the certificate(s) will be mailed to the contact address provided below.

Filer's Contact Information
(Enter a contact name, mailing address and email.)

Contact Name:
Business Name:
No. and Street:
City or Town:		State:	Zip:	Country:
Contact Phone:	ext:
Contact Email:

Please provide an email address to receive an expedited response from us if the filing is rejected for any reason. If no email address is provided, we will respond by mail.

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