Marriage License Application

Applicant 1

Applicant 1 Father Information

First Name

Do not use abbreviations or initials. Will appear on certificate as typed.

Middle Name

Do not use abbreviations or initials. Will appear on certificate as typed.

Last Name

Do not use abbreviations or initials. Will appear on certificate as typed.

Country of Birth

Enter a country

State of Birth

Enter a state. (If in the US)

Living?

Select

Applicant 1 Mother Information

First Name

Do not use abbreviations or initials. Will appear on certificate as typed.

Middle Name

Do not use abbreviations or initials. Will appear on certificate as typed.

Last Name

Do not use abbreviations or initials. Will appear on certificate as typed.

Country of Birth

Enter a country

State of Birth

Enter a state. (If in the US)

Living?

Select

Supplementary Data

Confidential Information - Information on previous Marriage/other Legally Recognized Union/RBR, race, occupation and education is confidential and will not be reproduced on certified copies of your marriage certificate but used for statistical purposes only. (Only the first and last questions are required)

Is this your first marriage/other legal union?

Select one

SelectAre you currently in a civil union or other legally recognized union with the same partner?

Select one

Number of this marriage/other legal union

Select one

Last marriage/other legal union ended by

Select one

Date Ended

Enter the year as 4 digits. If you do not know the day, enter the first day of the month.

YYYY

Place Ended - Country

Enter a country

Place Ended - County

Place Ended - State

Enter a state

Race

Applicant 1 race

Occupation

Applicant 1 occupation

Education

Specify highest grade completed

Sex