Marriage License Online Pre-Application

(Step 1 of 4) - Spouse 1 Information

* Required Fields, ** Only Required if Number of this Marriage is 2 or more.

First Name *

Middle Name

Last Name *

Maiden/Surname **

Sex *

Race *

Date of Birth * (MM/DD/YYYY)

State or Country of Birth *

City * (Where you currently reside)

County * (Where you currently reside)

State or Country of Residence *

I have a social security number

I do not have a social security number

Social Security Number *

Verify Social Security Number *

Number of this Marriage *

How did the Spouse's Last Marriage End **

Date Last Marriage Ended ** (MM/DD/YYYY)

Has Spouse 1 taken a Pre-Marital Class? *

Email * (Correspondence may be sent this address)

Mobile Phone *

(Step 2 of 4) - Spouse 2 Information

* Required Fields, ** Only Required if Number of this Marriage is 2 or more.

First Name *

Middle Name

Last Name *

Maiden/Surname **

Sex *

Race *

Date of Birth * (MM/DD/YYYY)

State or Country of Birth *

City * (Where you currently reside)

County * (Where you currently reside)

State or Country of Residence *

I have a social security number

I do not have a social security number

Social Security Number *

Verify Social Security Number *

Number of this Marriage *

How did the Spouse's Last Marriage End **

Date Last Marriage Ended ** (MM/DD/YYYY)

Has Spouse 1 taken a Pre-Marital Class? *

Email * (Correspondence may be sent this address)

Mobile Phone *

(Step 3 of 4) - Affidavit and Additional Information

* Required Fields

Family Law Handbook Affidavit

We hereby certify that we have obtained, read or otherwise accessed information contained in the Family Law Handbook in English or Spanish, prior to the issuance of our marriage license. *

Certified Copy Mailing Address

Where should we mail the certified copy(ies) of your recorded marriage license?

Address Format Domestic International

Address *

City *

State *

Zip *

Best Contact Phone Number *

Phone Type *

Acknowledgment

We hereby acknowledge that we have reviewed all the information on this marriage application, including, but not limited to names, dates of birth, address, Social Security number, and number of marriages. We agree that if there are any discrepancies found after the marriage license has been recorded, we will be required to pay an amended license fee. A court order and associated filing fee is also required and you may need to hire an attorney for an additional fee (if needed). Contact the Circuit Civil or Family Division for more information. By clicking submit, you agree to any additional applicable fees.

We acknowledge the above *

(Step 4 of 4) - Review & Submit

Please review the data entered in your application before submitting it. To edit any information, please return to the previous pages.

Spouse 1

Name:
Maiden/Surname:
Sex:
Race:
Date of Birth:
State or Country of Birth:
City:
County:
Country:
Social Security or Government ID Number:
Pre-Marital Class Taken:
Marriage Number:
Last Marriage Ended Reason:
Last Marriage Ended Date:
Email:
Mobile Phone:

Spouse 2

We hereby certify that we have obtained, read or otherwise accessed information contained in the Family Law Handbook:
Certified Copy Mailing Address:
Best Contact Phone Number:
Phone Type:

Marriage License System