Marriage Application

Use this marriage application form to pre-fill data into our marriage application system. This will expedite the process when you come into the Clerk's Office to acquire your official marriage license. All sensitive data will be encrypted within our database. Grayed out fields will be required when you come into the Clerk's Office, but for data security, we do not want you to enter this information at this time. Push the submit button to complete the process and receive your confirmation number. 


Which type of marriage will you be receiving?:     

Core Information


First Name:


Middle Name:


Last Name:


Birthdate:


Birth Country:


Birth State:


Demographic Information


Race:


SSN:


Years of Education:

Current Information


Street & Number:


City:


State:


Zip Code:


County:


Phone Number:

Parent Information


Father's Full Name:


Father's Birth Country:


Father's Birth State:


Mother's Full Maiden Name:


Mother's Birth Country:


Mother's Birth State:


Previous Marriage Info


Marriage Number:


Reason Marriage Ended:


Date Marriage Ended:

Core Information


First Name:


Middle Name:


Last Name:


Birthdate:


Birth Country:


Birth State:


Demographic Information


Race:


SSN:


Years of Education:

Current Information


Street & Number:


City:


State:


Zip Code:


County:


Phone Number:

Parent Information


Father's Full Name:


Father's Birth Country:


Father's Birth State:


Mother's Full Maiden Name:


Mother's Birth Country:


Mother's Birth State:


Previous Marriage Info


Marriage Number:


Reason Marriage Ended:


Date Marriage Ended:

Core Information


Title and Full Name:

Current Information


Street & Number:


City:


State:


Zip Code:


Phone Number:

Planned Information


Marriage Date:


Marriage City:


Marriage County:


This information will be reviewed with the couple when they come into the Clerk's Office to pay for and receive their marriage license.