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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
-
Month
-
Day
Year
Certificate(s) you are requesting:
*
Certificate of Baptism
Certificate of First Communion
Certificate of Confirmation
Certificate of Marriage
Full Legal Name at the time of the Sacrament
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Place of Birth (City & State)
*
Date of Baptism
-
Month
-
Day
Year
Date
Date of First Communion
-
Month
-
Day
Year
Date
Date of Confirmation
-
Month
-
Day
Year
Date
Date of Marriage
-
Month
-
Day
Year
Date
Father's Full Name
First Name
Middle Name
Last Name
Mother's Full Name
First Name
Middle Name
Last Name
Name of Godparents/ Sponsors/ Witnesses
Name of Priest or Deacon who officiated sacrament
Full Name of Spouse (For Certificates of Marriage)
First Name
Middle Name
Last Name
REQUESTOR'S INFORMATION
Full Name of Person Requesting Record
*
First Name
Middle Name
Last Name
What is your relationship to the name on the sacramental record:
*
Self
Parent/ Legal Guardian
Catholic Church Institution
Reason for request:
*
Sacramental Preparation
Annulment
Godparent
Other
To be valid, certificates must be mailed or picked up in person.
Please select your method of delivery:
*
Pick up at the parish office
Email
Mail
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Copy of Government issued ID
*
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