MARRIAGE LICENSE APPLICATION

Spouse One Information
FIRST NAME:*
MIDDLE NAME:
LAST NAME:*
SEX:*
DATE OF BIRTH (Mo., Day, Year):*

MonthDayYear
Date
AGE:*
BIRTHPLACE:*
EDUCATION (No. Yrs. Completed):
Highest Grade 1-8:*
Highest Grade 9-12:*
College 1-5+:*
RESIDENCE (NUMBER AND STREET):*
CITY OR TOWN:*
COUNTY:*
STATE:*
FATHER/PARENT NAME (LAST NAME PRIOR TO FIRST MARRIAGE):*
FATHER/PARENT BIRTHPLACE (State or Foreign Country):*
MOTHER/PARENT NAME (WITH LAST NAME PRIOR TO 1ST MARRIAGE):*
MOTHER/PARENT BIRTHPLACE (State or Foreign Country):*
NO. OF THIS MARRIAGE:*
If married before, which number is this marriage.
NO. OF CIVIL UNIONS:*
If in a civil union before, which number is this civil union.
IF PREVIOUSLY IN MARRIAGE OR CIVIL UNION, LAST RELATIONSHIP WAS:

MARRIAGECIVIL UNION
LAST RELATIONSHIP ENDED BY:

DEATHDISSOLUTIONANNULMENTPREVIOUS CIVIL UNION DID NOT END. MARRYING CIVIL UNION PARTENR

Spouse Two Information
SPOUSE TWO
FIRST NAME:*
MIDDLE NAME:
LAST NAME:*
SEX:*
DATE OF BIRTH (Mo., Day, Year):*

MonthDayYear
Date
AGE:*
BIRTHPLACE:*
EDUCATION (No. Yrs. Completed):
Highest Grade 1-8:*
Highest Grade 9-12:*
College 1-5+:*
RESIDENCE (NUMBER AND STREET):*
CITY OR TOWN:*
COUNTY:*
STATE:*
FATHER/PARENT NAME (LAST NAME PRIOR TO FIRST MARRIAGE):
FATHER/PARENT BIRTHPLACE (State or Foreign Country):
MOTHER/PARENT NAME (WITH LAST NAME PRIOR TO 1ST MARRIAGE):
MOTHER/PARENT BIRTHPLACE (State or Foreign Country):
NO. OF THIS MARRIAGE:
If married before, which number is this marriage.
NO. OF CIVIL UNIONS:
If in a civil union before, which number is this civil union.
IF PREVIOUSLY IN MARRIAGE OR CIVIL UNION, LAST RELATIONSHIP WAS:

MARRIAGECIVIL UNION
LAST RELATIONSHIP ENDED BY:

DEATHDISSOLUTIONANNULMENTPREVIOUS CIVIL UNION DID NOT END. MARRYING CIVIL UNION PARTENR

Documents
One of the acceptable forms of identification (ID):
- Current State ID issued by DMV
- Current motor vehicle ID issued by the State DMV (with the correct address)
- A valid passport (copy of page with photo and expiration date listed)
  Current Military ID
If you do not have any of these IDs, you will need any two of the following documents:
- Social Security Card *DO NOT UPLOAD A COPY OF YOUR CARD.
- Current utility bill showing name and address
- Voter’s Registration Card
- Car Registration showing your name and address
FILE UPLOAD: Max file size of 5 MB and must be a pdf, jpeg, png, or gif.

Please do not upload and files that fall under PII, PHI, or HIPAA.
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