Department of Court Records Marriage License/Records 
                
 
Temporary ID: TEMP410313 Marriage License Application Form                       
Select Interview Mode:

         Both applicants MUST be physically located in the same place at the time of the video conference.

         Both applicants MUST appear together at office.
All fields in red are required Applicant A Statement                                   
Last Name:
Suffix:
First Name:
Middle Name:
Maiden Name:
Date of Birth
(mm/dd/yyyy):
Age
0
 

Country of Birth:

State/Province of Birth:
 

City of Birth:
 

Sex:
Home Address:
Country:
 
State/Province:
 
 
City:
 
 
County:
 
 
Zip Code:
 
 
Occupation:
SSN: What's This?
“It's a federal law (Title 42 USC Chapter 7, Subchapter IV, Part D, Section 666(a)(13))
that you must provide your Social Security number when applying for a marriage license”
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