Friday, August 18, 2017
Online Application - Directions

Fill in all of the fields in the following form. When you are finished, click the "Show Me the Form!" button. This processes the information you have supplied and presents a printable form containing that information. You will see a new page that you can easily print (follow the directions at the bottom of the new page).

If you want to start all over with blank fields, click the "Reset Form" button. Alternatively, you can edit individual fields.

There is also a Blank Form that can be mailed or faxed.


APPLICATION FOR A CERTIFIED COPY OF A MARRIAGE LICENSE

	Name of Groom
	First Name:     
	Middle Name:    
	Last Name:      

	Name of Bride
	First Name:     
	Middle Name:    
	Last Name:      
	(Maiden Name)
	
	Date of Marriage
	Month:    Date:    Year: (e.g. 1898, 1932)

	County where License was obtained
	County:  
	
	Name of Requester
	Requester's Name:    
	Requester's Phone:   
	Requester's Address: 
	     City:           
	     State/Province: 
	     Country:        
	     ZIP Code:       

	Number of Certified Copies Desired
	Quantity:    
	
That's all. Press the "Show Me the Form" button to preview the application.




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