Marriage Certificate Application Form

Retrieving Data

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State

Information about the Certificate

Date of Marriage

Information about the requestor

Information about the subjects

Please enter full name at marriage of the first spouse on record as shown on the Marriage Certificate.

Please enter full name at marriage of the second spouse on record as shown on the Marriage Certificate.

Delivery information

Please enter the physical address where you want the certificate to be delivered.

Certificate information

Are you sure of the Mother Maiden last name?

We have detected that the Mother Maiden last name you entered is the same as Father last name. Typically the mother’s maiden name is different. You can edit the information here if it is a mistake or continue if it is correct.

Father’s Name

Mother’s Name

Please edit the names or click "Ignore".

Please verify the correctness of your last name

We have detected that the last name of the person on record does not match the parents information you have entered. Please review and correct or check the “ignore” checkbox below

Father’s Name

Mother’s Name

Full name of the person on record

Please edit the names or click "Ignore".

Please verify the correctness of your last name

If you are married, your current legal last name will not usually match the last name on your birth certificate. Please review and correct or check the “ignore” checkbox below.

Person on record:

Applicant Details:

Please edit the names or click "Ignore".

Please verify the correctness of your middle name

The Middle Name is required. If Middle Name is not known, please check the “IGNORE" checkbox below.

Please edit the names or click "Ignore".