ONTARIO MARRIAGE CERTIFICATE ORDER FORM

Ontario Marriage Certificate Order Form

This application is to obtain a Marriage Certificate for marriages that took place in Ontario.
Your Name*

First NameLast Name
Address where the certificate should be delivered*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Email*
example@example.com

City of Marriage*
, Ontario
Date of Marriage*

MonthDayYear
Name of Party to the Marriage*

First NameMiddle NameLast Name Before Marriage
Date of Birth*

MonthDayYear
Date
Place of Birth*

Province/StateCountry
Name of Party to the Marriage*

First NameMiddle NameLast Name Before Marriage
Date of Birth*

MonthDayYear
Date
Place of Birth*

Province/StateCountry
Reason for Request*

ImmigrationChange of NameInsuranceDivorcePension BenefitsEstate SettlementLost
I am*

Bride/Groom

Please select the form(s) you are requesting. Please note that the RUSH option is not available for delivery outside of Canada as well as for marriages that took place before 1991.

Marriage Certificate - Regular Delivery

Short Form Marriage Certificate. 15-20 Business Days.

$75.00CAD Quantity

Marriage Certificate - RUSH Delivery

Short Form Marriage Certificate. 5-8 Business Days. Not available for marriages that took place before 1991.

$115.00CAD Quantity

Certified Copy of Marriage Registration - Regular Delivery

Long Form Marriage Certificate. 15-20 Business Days.

$85.00CAD Quantity

Certified Copy of Marriage Registration - RUSH Delivery

Long Form Marriage Certificate. 5-8 Business Days. Not available for marriages that took place before 1991.

$130.00CAD Quantity

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

I authorize Canada Certificates to request a Marriage Certificate on my behalf (type your full name in the box ):*
Should be Empty:

Ontario Marriage Certificate Order Form