United States Google Ad Verification Document Upload Center

Organization Name (This will be the Paid for By disclaimer and must match your IRS EIN letter)

Type of Entity

Examples: Private Company, Nonprofit, Political Campaign, Government Entity, Financial Institution

Authorized Representative

First name

Last name

Title at Organization

Government Issued ID of Authorized Representative

Valid Documents Only: Passport, Driving License, State Identification, Permanent Resident or Green Card

Front of ID

Back of ID

I am a legally authorized representative of the organization.

Signature

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