Merged Marriage Application Form JEWISH STATUS

Jewish Status Form

Welcome to the application form for your Jewish Status Verification. Please read the following information before proceeding.
We recommend gathering and submitting as much documentation as possible to support your application—this helps ensure a smoother and stronger verification process. If certain documents are currently unavailable, you may still submit the form with the materials you have provided. Our team will review your submission and work with the information available. We are here to assist you throughout the process.

Documents Required:

1. Birth certificates of applicant(s) and their mother(s).

2. Passport and License of applicant(s).

3. Ketuba from parents' wedding.

4. Legal marriage certificate issued at parents' wedding.

5. Confirmation of Single Status for the applicant(s) to be signed by two Jewish persons, neither related to each other nor to the applicant(s). See Section 2f/3f to download.

6. In case of second marriage, Gett certificate or Death certificate.

Wedding Details
A. What is the Groom's name?*

First NameMiddle NameLast Name
B. What is the Bride's name?*

First NameMiddle NameLast Name
C. What is the date and time of your wedding?

MonthDayYear
Hour MinutesAM/PM Option
D. Where is your Chuppah Ceremony located?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Who is the Rabbi officiating the wedding?
F. Officiating Rabbi's phone number:
Please enter a valid phone number.

Groom Personal Details
A. Has a family member of the Groom been approved by The Sydney Beth Din or The Institute of Jewish Status?
If you clicked YES above, please write their name and year of approval.
B. What is your mobile phone number?*

Area CodePhone Number
C. Please enter your email address:*
example@example.com
D. What is your current address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. What is your occupation?
F. What is your date of birth?

MonthDayYear
G. What is your place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
H. What is your Hebrew name?
I. Are you or anyone else in your family adopted or born through assisted reproductive tech?
If you clicked YES above, please provide details.
J. Are there any conversions in the family?
If you clicked YES above, please provide details.

Groom Maternal Family Information
A. What is your Mother's name?
B. What is your Mother's maiden name?
C. What is your Mother's Hebrew name?
D. What is your Mother's place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Is your Mother the daughter of a:

KohenLeviYisroel
F. Please write your Maternal Grandfather's name:

First NameLast Name
G. Please write your Maternal Grandmother's name:

First NameMaiden Name
Groom Paternal Family Information
A. What is your Father's name?
B. Is your Father Jewish?
C. If your Father is Jewish, what is his Hebrew name?
D. What is your Father's place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Is your Father the son of a:

KohenLeviYisroel
F. Please write your Paternal Grandfather's name:

First NameLast Name
G. Please write your Paternal Grandmother's name:

First NameMaiden Name

Groom Family Information
A. What is your parents' marriage date?

DayMonthYear
B. Where were your parents married?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
C. Name of Synagogue where your parents were married:
D. Were you born from both of your parents’ first marriage?

YesNo
E. Please provide the number of brothers, sisters, and their respective ages.
F. Are the Bride and Groom related? If yes, please state relation.

Groom Current Marital Status
A. What is your current marital status?

Never marriedMarriedDivorcedWidow
B. If the previous answer was Married/Divorced/Widow, please provide the following information (otherwise leave blank):

DayMonthYear
C. Officiating Rabbi:
D. Name of Synagogue:
E. Location of marriage:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
F. If the marriage has been dissolved, please provide details:
G. Name of previous spouse:

First NameLast Name
H. Were there children from this marriage?

YesNo
I. Age of children:
J. Name of family purity teacher:

First NameLast Name
K. Have you previously applied at another Synagogue or with another Rabbi?

Groom Documentation

We recommend gathering and submitting as much documentation as possible to support your application. This helps ensure a smoother and stronger verification process. If certain documents are currently unavailable, you may still submit the form with the materials you have provided. Our team will review your submission and work with the information available. We are here to assist you throughout the process.
A. Please upload your Birth Certificate.

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B. Please upload your Mother's Birth Certificate.

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C. Please upload your parents' Ketuba.

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D. Please upload your parents' Marriage Certificate.

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E. In case of 2nd+ marriage, please upload a GETT or Death Certificate.

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F. Please upload a colored copy of your Driver's License.

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G. Please upload a colored copy of your Passport.

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H. Please upload a current photo of yourself.

Photo will be used for a certificate.
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I. Please upload any other documentation here.

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J. Please write any additional notes or comments here.

Groom Confirmation of Jewish Status
A. Please upload a signed Confirmation of Jewish Status Witness Form by 2x Jewish People (not related to you and not related to each other).

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B. Please upload colored copy of 2x Witnesses' Drivers Licenses.

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By submitting this application, I hereby declare that all the information provided is true and correct, to the best of my knowledge.
Please click next to enter the details of the Bride.

Bride Personal Details
A. Has a family member of the Bride been approved by The Sydney Beth Din or The Institute of Jewish Status?
If you clicked YES above, please write their name and year of approval.
B. What is your mobile phone number?*

Area CodePhone Number
C. Please enter your email address:*
example@example.com
D. What is your current address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. What is your occupation?
F. What is your date of birth?

MonthDayYear
G. What is your place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
H. What is your Hebrew name?
I. Are you or anyone else in your family adopted or born through assisted reproductive tech?
If you clicked YES above, please provide details.
J. Are there any conversions in the family?
If you clicked YES above, please provide details.

Bride Maternal Family Information
A. What is your Mother's name?
B. What is your Mother's maiden name?
C. What is your Mother's Hebrew name?
D. What is your Mother's place of birth?

Street Adress

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Is your Mother the daughter of a:

KohenLeviYisroel
Bride Paternal Family Information
A. What is your Father's name?
B. What is your Father's Hebrew name?
C. What is your Father's place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
D. Is your father the son of a:

KohenLeviYisroel
E. Is your father living?

YesNo

Bride Family Information
A. What is your parents' marriage date?

MonthDayYear
B. Where were your parents married?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
C. Name of Synagogue where your parents were married:
D. Were you born from both of your parents’ first marriage?

YesNo
E. Please provide the number of brothers, sisters, and their respective ages.

Bride Current Marital Status
A. What is your current marital status?

Never marriedDivorcedWidow
B. If the previous answer was Divorced/Widow, please provide the following information (otherwise leave blank):

MonthDayYear
C. Officiating Rabbi:
D. Name of Synagogue:
D. Location of Marriage:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. If the Marriage has been dissolved, please provide details:
F. Name of previous spouse:

First NameLast Name
G. Were there children from this Marriage?

YesNo
H. Age of children:
I. If widowed, did the husband have any brothers?
J. Name of family purity teacher:

First NameLast Name
K. Have you previously applied at another Synagogue or Rabbi?
L. Are you currently pregnant?

YesNo

Bride Documentation

We recommend gathering and submitting as much documentation as possible to support your application. This helps ensure a smoother and stronger verification process. If certain documents are currently unavailable, you may still submit the form with the materials you have provided. Our team will review your submission and work with the information available. We are here to assist you throughout the process.
A. Please upload your Birth Certificate.

Cancelof
B. Please upload your Mother's Birth Certificate.

Cancelof
C. Please upload your parents' Ketuba.

Cancelof
D. Please upload your parents' Marriage Certificate.

Cancelof
E. In case of 2nd+ marriage, please upload a GETT or Death Certificate.

Cancelof
F. Please upload a colored copy of your Driver's License.

Cancelof
G. Please upload a colored copy of your Passport.

Cancelof
H. Please upload a current photo of yourself.

Photo will be used for a certificate
Cancelof
I. Please upload any other documentation here.

Cancelof
J. Please write any additional notes or comments here.

Bride Confirmation of Jewish Status
A. Please upload a signed Confirmation of Jewish Status Witness Form by 2x Jewish People (not related to you and not related to each other).

Cancelof
B. Please upload a colored copy of 2x Witnesses' Drivers Licenses.

Cancelof
By submitting this form, I hereby declare that all the information provided is true and correct, to the best of my knowledge.

Application Payment

Please pay the fee to finalize your application. *

Application Fee

$360.00

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Terms and Conditions:

1. Service Description
JewishStatus.org provides Jewish status verification and certification services through document review and Rabbinical evaluation. We are not a governmental authority, and our certification is based on religious and community standards, not legal mandates.

2. Fees & Payments
All services require payment of a non-refundable service fee. This fee covers the time and resources involved in the review and verification process, regardless of the final outcome.

3. No Guarantee of Outcome
Submitting an application does not guarantee certification. All decisions regarding Jewish status are made at the sole discretion of our Rabbinic Counsel based on the materials available.

4. DNA Testing Disclaimer
JewishStatus.org does not directly perform or offer DNA testing services as part of its Jewish status verification process.

In some cases, clients may choose to explore mitochondrial DNA testing, which traces maternal lineage. Please note that this is a separate and independent service offered by third-party organizations, not by JewishStatus.org.

5. Confidentiality
We respect your privacy. All personal information and documents submitted are handled with strict confidentiality.
Should be Empty:

Jewish Status Form

Wedding Details

Groom Personal Details

Groom Maternal Family Information

Groom Paternal Family Information

Groom Family Information

Groom Current Marital Status

Groom Documentation

Groom Confirmation of Jewish Status

Bride Personal Details

Bride Maternal Family Information

Bride Paternal Family Information

Bride Family Information

Bride Current Marital Status

Bride Documentation

Bride Confirmation of Jewish Status

Application Payment