Marriage Certificate Form

Before You Begin:
Only fill in the information that applies to your situation.
The applicant is the spouse with Czech citizenship who will be submitting the request. If both spouses are Czech citizens, either one may act as the applicant.

Each Czech consulate in the U.S. covers specific states. If you’re unsure which consulate serves your area, you can check the list of consulate jurisdictions here.

Signatures must be provided in person during your consular appointment. If you’re applying by mail, your signatures must be notarized.

For more details, please refer to the website of the consulate that has jurisdiction over your state.
Marriage Certificate Form
Date of application submission

DayMonthYear
Enter date in European formate
CzechWay Citizenship Solutions
Which Czech consulate in the U.S. will you be applying at?
Each consulate has different jurisdiction, see link above.
For applications outside the U.S., select your city of submission.
Find the Czech consulate or Embassy worldwide. If you do not see your city, skip this field.
Applicant's Information
Applicant's full name
Enter First Name, Middle Name, then Last Name.
Applicant's date of birth

DayMonthYear
Enter date in European formate
Applicant's place of birth
Enter both city and country/state
Applicant's address
Czech address if available; otherwise enter your current foreign address
Applicant's Email*
Email address to receive your completed form
Date of the marriage

DayMonthYear
Enter date in European formate
Place of the marriage
Enter both city and country/state
Husband's information
Husband's full name

First NameMiddle NameLast Name
Husband's last name at birth (if different from above)
Husband's date of birth

DayMonthYear
Enter date in European formate
Husband's Czech birth number
Czech birth number is a unique number issued by Czech authorities. It is not the SSN. Leave blank if unknown. (You’ll find it on a Czech birth certificate, ID, or passport.)
Husband's marital status before this marriage

SingleDivorcedWidowed
Svobodny
Rozvedeny
Vdovec
Husband's place of birth
City and state/country
Husband's current citizenship(s)
e.g. CZ, USA, other
Husband's last Czech permanent residence (if applicable).
Enter the Czech address if applicable.
Husband's father's full name
Enter First Name, Middle Name, then Last Name.
Husband's father's last name at birth (if different from above)
Husband's father's date of birth

DayMonthYear
Enter date in European formate
Husband's father's place of birth
City and state/country
Husband's mother's full name
Enter First Name, Middle Name, then Last Name.
Husband's mother's maiden name
If different than above
Husband's mother's date of birth

DayMonthYear
Enter date in European formate
Husband's mother's place of birth
Wife's information
Wife's full name

First NameMiddle NameLast Name (after marriage)
Wife's maiden name
Wife's date of birth

DayMonthYear
Enter date in European formate
Wife's Czech birth number
Czech birth number is a unique number issued by Czech authorities. It is not the SSN. Leave blank if unknown. (You’ll find it on a Czech birth certificate, ID, or passport.)
Wife's place of birth
City and state/country
Wife's marital status before this marriage

SingleDivorcedWidowed
Svobodna
Rozvedena
Vdova
Wife's current citizenship(s)
e.g. CZ, USA, other
Wife's last Czech permanent residence (if applicable).
Wife's father's full name
Enter First Name, Middle Name, then Last Name.
Wife's father's last name at birth (if different from above)
Wife's father's date of birth

DayMonthYear
Enter date in European formate
Wife's father's place of birth
City and state/country
Wife's mother's full name
Enter First Name, Middle Name, then Last Name
Wife's mother's maiden name
If different than above
Wife's mother's date of birth

DayMonthYear
Enter date in European formate
Wife's mother's place of birth
City and state/country
How many witnesses did you have at the wedding?
Witnesses may be listed on your marriage certificate. If you remember their details, please include them. If not, you may leave those fields blank.
Beze svědků

Full name of witness 1
Enter First Name, Middle Name, then Last Name
Witness 1 - date of birth

DayMonthYear
Enter date in European formate
Witness 1 - place of birth
City and state/country
Czech birth number of witness 1 (if applicable)
Czech birth number is a unique number issued by Czech authorities. It is not the SSN. Leave blank if unknown. (You’ll find it on a Czech birth certificate, ID, or passport.)
Nevim datum 1
Nevim misto 1

Full name of witness 2
Enter First Name, Middle Name, then Last Name.
Witness 2 - date of birth

DayMonthYear
Enter date in European formate
Witness 2 - place of birth
City and state/country
Czech birth number of witness 2 (if applicable)
Czech birth number is a unique number issued by Czech authorities. It is not the SSN. Leave blank if unknown. (You’ll find it on a Czech birth certificate, ID, or passport.)
Nevim datum 2
Nevim misto 2

LAST NAME AGREEMENT
Before filling out this section, please check your Czech marriage certificate and confirm whether it includes a surname agreement:

– If the surname agreement is included, pay attention to the section A only.
– If the surname agreement is not included, skip the section A and fill out section B instead.

Please complete only the fields that apply to your case and leave the others blank.

⚠ After your final PDF is generated, make sure to place your signatures under the section that has been filled out in the 'Dohoda o příjmení' area.

If your situation is unclear, the agreement about last names can be completed during your consular appointment.
Were your future last names agreed upon and stated in your marriage certificate?

Yes - fill in section ANo - fill in section B

Will you share a common last name?

YesNo
IF YES - what will your shared last name be?
Type exactly how it will appear, including spelling and diacritics
IF NO, what last name will the husband use after the marriage?
Type exactly how it will appear, including spelling and diacritics
IF NO, what last name will the wife use after the marriage?
Type exactly how it will appear, including spelling and diacritics
IF NO what last name will your future children carry?
This needs to be the last name of one of the spouses.
HYPHENATED LAST NAME

Following section is for cases where one spouse wishes to use a hyphenated last name, combining their original surname with the shared surname agreed upon in the marriage. The original surname will be placed before the shared surname.

For example:
If the shared surname is Novák and the bride wishes to keep her original surname Černá, she may choose to use the surname Černá-Novák after marriage.

This option applies to only one spouse and is not required.
Will one of you be adding their surname before the shared last name, as allowed by Czech naming rules?

YesNo
If yes, what will the husband's last name be?
If yes, what will the wife's last name be?
If yes, what last name will your future children carry?
At the same time, will the female partner use the masculine form of the surname (e.g. without -ová ending)? If yes, type it below:
REMOVING DIACRITICS / Surname as Stated in Foreign Marriage Certificate

Use this section to enter surnames as they appear on your foreign marriage certificate, with the option to remove diacritics (e.g., Dvořák → Dvorak).

Note: The husband and wife may each choose different surnames. The child will carry the surname of one of the spouses.
What will the husband's last name be?
What will the wife's last name be?
What last name will your future children carry?
At the same time, will the female partner use the masculine form of the surname (e.g. without -ová ending)? If yes, type it below:

Will you share a common last name?

YesNo
IF YES - what will your shared last name be?
Type exactly how it will appear, including spelling and diacritics
IF NO, what last name will the husband use after the marriage?
Type exactly how it will appear, including spelling and diacritics
IF NO, what last name will the wife use after the marriage?
Type exactly how it will appear, including spelling and diacritics
IF NO, which last name will your future children carry?
This needs to be the last name of one of the spouses.
HYPHENATED LAST NAME

Following section is for cases where one spouse wishes to use a hyphenated last name, combining their original surname with the shared surname agreed upon in the marriage. The original surname will be placed before the shared surname.

For example:
If the shared surname is Novák and the bride wishes to keep her original surname Černá, she may choose to use the surname Černá-Novák after marriage.

This option applies to only one spouse and is not required.
Will one of you be adding their surname before the shared last name, as allowed by Czech naming rules?

YesNo
If yes, what will the husband's last name be?
If yes, what will the wife's last name be?
If yes, what will the last names of your future children be?
At the same time, will the female partner use the masculine form of the surname (e.g. without -ová ending)? If yes, type it below:
LAST NAMES BASED ON ID ISSUED AFTER MARRIAGE

This option allows you to use your last names exactly as they appear in your (foreign) ID or passport issued after the marriage.

Selecting this option may also override the surname agreement stated in your marriage certificate.
Would you like to use the same last name that appears on your ID or passport issued after the marriage?

I want to file my last name based on how it appears on my current ID or passport issued after the marriage.
Husband’s last name (matching his ID)
Wife’s last name (matching her ID)
Children’s last name (based on one parent’s ID)
At the same time, will the female partner use the masculine form of the surname (e.g. without -ová ending)? If yes, type it below:

ADDITIONAL INFORMATION
Applicant's identification document
Pas CR
ID CR
RP CR
PAS zahr
ID zahr
RP zahr
36. Applicant's identification document number
37. Identification document was issued on

DayMonthYear
Enter date in European formate
37. Identification document expires on

DayMonthYear
Enter date in European formate
Note: Field No. 121 of the final PDF must be signed by hand by the applicant.

The appropriate section of the “Last Name Agreement” will be automatically filled in the PDF based on the last names provided. Signatures of both spouses are required only under that specific section.
PAYMENT

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Marriage Application Form

Completed PDF form for submission at the Consulate

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Marriage Certificate Form

Applicant's Information

Husband's information

Wife's information

LAST NAME AGREEMENT

HYPHENATED LAST NAME

REMOVING DIACRITICS / Surname as Stated in Foreign Marriage Certificate

HYPHENATED LAST NAME

LAST NAMES BASED ON ID ISSUED AFTER MARRIAGE

ADDITIONAL INFORMATION

PAYMENT

Payment Methods