Marriage Application

First Applicant's Personal Information

*First Name

Middle Name

*Last Name

Maiden Last Name

Email

*Is this your first marriage?

Yes

No

First Applicant's Previous Marriage Information

*Previous Marriage Ended By

*Date Previous Marriage Ended

*Number of marriages including this one

First Applicant's Physical Address

*Address

Apartment or Suite (optional)

*City

*State or Province

*Zip Code

First Applicant's Residency Information

Were you Born in the U.S.A.?

Yes

No

*County of Residence

Social Security Number

*Date of Birth

*Birth State or Province

*Birth Country

*Race

*Gender

Male

Female

Second Applicant's Personal Information

*First Name

Middle Name

*Last Name

Maiden Last Name

Email

*Is this your first marriage?

Yes

No

Second Applicant's Previous Marriage Information

*Previous Marriage Ended By

*Date Previous Marriage Ended

*Number of marriages including this one

*Use same address as first applicant?

Yes

No

Second Applicant's Physical Address

*Address

Address Line 2

*City

*State or Province

*Zip Code

Second Applicant's Residency Information

Were you Born in the U.S.A.?

Yes

No

*County of Residence

Social Security

*Date of Birth

*Birth State or Province

*Birth Country

*Race

*Gender

Male

Female

*Which address would you like us to use for future correspondence?

First Applicant's Address

Second Applicant's Address

A New Address

Couple's Correspondence Address

*Is your correspondence address in the U.S.A.?

Yes

No

*Address

Address Line 2

*City

*State or Province

*Country

*Zip Code

BY COMPLETING AND SUBMITTING THIS ON-LINE MARRIAGE APPLICATION, APPLICANTS ACKNOWLEDGE AND ACCEPT THAT THE APPLICATION IS DEEMED NOT TO BE ACCEPTED BY THE CLERK, DOES NOT CONFER UPON THEM ANY LEGAL STANDING REGARDING THE APPLICATION FOR A MARRIAGE LICENSE, AND DOES NOT ENTITLE THE APPLICANTS TO THE ISSUANCE OF A MARRIAGE LICENSE UNTIL SUCH TIME AS THE PARTIES APPEAR IN PERSON BEFORE THE CLERK AND THEN MEET ALL REQUIREMENTS UNDER FLORIDA LAW FOR THE ISSUANCE OF A MARRIAGE LICENSE.

Verify that all your information is correct before submitting your application.

***IMPORTANT*** THREE-DAY WAITING PERIOD DOES NOT COMMENCE UNTIL PARTIES APPEAR IN PERSON AND MARRIAGE LICENSE IS ISSUED BY THE CLERK.

First Applicant's Personal Information

First Applicant's Previous Marriage Information

First Applicant's Physical Address

First Applicant's Residency Information

Second Applicant's Personal Information

Second Applicant's Previous Marriage Information

Second Applicant's Physical Address

Second Applicant's Residency Information

Couple's Correspondence Address

Frequently Requested Services

Custodian of Public Record