Marriage License Certified Copy Order Form

Lucas County Probate Court - Judge Jack R. Puffenberger
Marriage License Certified Copy Order Form
To obtain copies of your "Marriage Certificate," it will be necessary for you to submit the following information:
Volume & Page Number OR Case Number (if available)
Name of Applicant 1 (as it appears on the Marriage License)
Applicant 1's Date of Birth

Month Day Year
Date
Name of Applicant 2 (as it appears on the Marriage License)
Applicant 2's Date of Birth

Month Day Year
Date
Approximate date of marriage

Month Day Year
Date
Contact Name (In case our office needs to contact you regarding this form)

First Name Last Name
Phone Number

Area Code Phone Number
Mailing Address to Send Copies

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com

Payment *

Certified Copy of Marriage License - Current Subtotal: Free

Cost includes certified copy, postage, and processing fee.

Quantity
Item subtotal: $ 0.00

Total $ 0.00

Lucas County Probate Court - Judge Jack R. Puffenberger