Sacramental Record Request Form

Sacramental Record Request Form

Information from sacramental records is only released to the individual who received the sacrament, the parents of a minor (currently under the age of 18), or a requesting Catholic Church institution (e.g. another parish or tribunal). You will also need to provide a copy of a government-issued photo ID (e.g. Driver's License or passport). Please allow up to 2 weeks for processing. Incomplete forms will delay the processing of your request.
SACRAMENTAL INFORMATION
Today's Date

MonthDayYear
Certificate(s) you are requesting:*
Full Legal Name at the time of the Sacrament*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Place of Birth (City & State)*
Date of Baptism

MonthDayYear
Date
Date of First Communion

MonthDayYear
Date
Date of Confirmation

MonthDayYear
Date
Date of Marriage

MonthDayYear
Date
Father's Full Name

First NameMiddle NameLast Name
Mother's Full Name

First NameMiddle NameLast Name
Name of Godparents/ Sponsors/ Witnesses
Name of Priest or Deacon who officiated sacrament
Full Name of Spouse (For Certificates of Marriage)

First NameMiddle NameLast Name
REQUESTOR'S INFORMATION
Full Name of Person Requesting Record*

First NameMiddle NameLast Name
What is your relationship to the name on the sacramental record:*
Reason for request:*

Other
To be valid, certificates must be mailed or picked up in person.
Please select your method of delivery:*
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Copy of Government issued ID*

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My Products

Sacrametal Record

$10.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

Sacramental Record Request Form

SACRAMENTAL INFORMATION

REQUESTOR'S INFORMATION