Applicant Information *

First Name Applicant A *
Middle Name Applicant A
Last Name Applicant A *
Current Name Applicant A
Date of Birth Applicant A *
Sex Applicant A * Please select a sex Male Female Undesignated/Non-Binary
Age Applicant A *
Birthplace Applicant A *

Address Information *

Marital Status *

Domestic Status Applicant A * Please select a status Single Annulled Current Civil Union Former Civil Union Divorced Current Domestic Partner Widowed Former Domestic Partner
Date *
Place *
No. of Times Ever Married (If Applicable)*
Name of Most Recent Spouse (If Any)*
No. of Times Ever in a Civil Union (If Applicable)*
Name of Most Recent CU Partner *

For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner, enter date and place of original ceremony:

Date
Place

Parents Information *

Father's Full Name *
Father's Birthplace *
Mother's Full Name *
Mother's Birthplace *
Are you Related to Applicant B? Please select an answer No Yes
Social Security Number *
To Applicant B
* indicates a required field.

Applicant Information *

First Name B *
Middle Name B
Last Name B *
Current Name B
Date of Birth B *
Sex B * Please select a sex Male Female Undesignated/Non-Binary
Age B *
Birthplace B *

Address Information *

Marital Status *

Domestic Status B * Please select a status Single Annulled Current Civil Union Former Civil Union Divorced Current Domestic Partner Widowed Former Domestic Partner
Date *
Place *
No. of Times Ever Married (If Applicable)*
Name of Most Recent Spouse (If Any)*
No. of Times Ever in a Civil Union (If Applicable)*

For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner, enter date and place of original ceremony:

Date
Place

Parents Information *

Father's Full Name *
Father's Birthplace *
Mother's Full Name *
Mother's Birthplace *
Are you Related to Applicant A? Please select an answer No Yes
Social Security Number *
Back To Application A To Application
* indicates a required field.

Application Information *

Type of Application * Please select an answer Marriage Remarriage
Municipality where Ceremony will take place *
County where Ceremony will take place *
Intended Date of Ceremony *
Marriage to be Performed by *
Mailing Address of Person Performing the Ceremony
Contact Number to Reach Either Party *
Mailing Address to Reach Either Party *
Primary Proof of Residence *
Secondary Proof of Residence (If Needed)
Back To Application B Submit
* indicates a required field.