LICENSE AND CERTIFICATE OF MARRIAGE - MUST BE LEGIBLE - MAKE NO ERASURES, WHITEOUTS, OR OTHER ALTERATIONS

Sep 2, 2026

Marriage license and certificate form content intended for legible completion without errors, whiteouts, or other alterations. Includes first-person and second-person sections collecting names, middle names, last names (including last name at birth when different), dates of birth, birth states/countries, counts of previous marriages or SRDP, and details of prior marriage endings. Captures parental birth names and states/countries, addresses, and zip codes. Contains an affidavit statement under penalty of perjury, consent and license application language referencing California Family Code sections, witness signatures, clerk issuance and license number fields, and a solemnization certification requiring the ceremony to occur in California.

LanguageEnglish

CategoryForms

FormatDOC

Pages2

Reading Time1 min

AccessFree to download

First Person Data

Second Person Data

Affidavit

License to Marry

Witness(es)

Certification of Person Solemnizing Marriage

New Names

LICENSE AND CERTIFICATE OF MARRIAGE MUST BE LEGIBLE – MAKE NO ERASURES, WHITEOUTS, OR OTHER ALTERATIONS STATE FILE NUMBER USE DARK INK ONLY LOCAL REGISTRATION NUMBER ( Groom ( Bride FIRST PERSON DATA 1A. FIRST NAME 1B. MIDDLE 1C. CURRENT LAST 1D. LAST NAME AT BIRTH (IF DIFFERENT THAN 1C) 2. DATE OF BIRTH (MM/DD/CCYY) 3. STATE/COUNTRY OF BIRTH 4. #PREV. MARRIAGES/SRDP 5A. LAST MARRIAGE/SRDP ENDED BY: 5B. DATE ENDED (MM/DD/CCYY) ( DEATH ( DISSO ( ANNULMENT ( TERM SRDP ( N/A 6. ADDRESS 7. CITY 8. STATE/COUNTRY 9. ZIP CODE 10A. FULL BIRTH NAME OF FATHER/PARENT 10B. STATE OF BIRTH (IF OUTSIDE U.S. ENTER COUNTRY) 11A. FULL BIRTH NAME OF MOTHER/PARENT 11B. STATE OF BIRTH (IF OUTSIDE U.S. ENTER COUNTRY) ( Groom ( Bride SECOND PERSON DATA 12A. FIRST NAME 12B. MIDDLE 12C. CURRENT LAST 12D. LAST NAME AT BIRTH (IF DIFFERENT THAN 12C) 13. DATE OF BIRTH (MM/DD/CCYY) 14. STATE/COUNTRY OF BIRTH 15. # PREV. MARRIAGES/SRDP 16A. LAST MARRIAGE/SRDP ENDED BY: 16B. DATE ENDED (MM/DD/CCYY) ( DEATH ( DISSO ( ANNULMENT ( TERM SRDP ( N/A 17. ADDRESS 18. CITY 19. STATE/COUNTRY 20. ZIP CODE 21A. FULL BIRTH NAME OF FATHER/PARENT 21B. STATE OF BIRTH (IF OUTSIDE U.S. ENTER COUNTRY) 22A. FULL BIRTH NAME OF MOTHER/PARENT 22B. STATE OF BIRTH (IF OUTSIDE U.S. ENTER COUNTRY) AFFIDAVIT WE, THE UNDERSIGNED DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT we are unmarried and THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF. WE FURTHER DECLARE THAT NO LEGAL OBJECTION TO THE MARRIAGE NOR TO THE ISSUANCE OF A LICENSE IS KNOWN TO US. WE ACKNOWLEDGE RECEIPT OF THE INFORMATION REQUIRED BY FAMILY CODE SECTION 358 AND HEREBY APPLY FOR A LICENSE AND CERTIFICATE OF MARRIAGE. 23. SIGNATURE OF PERSON LISTED IN FIELDS 1A-1D 24. SIGNATURE OF PERSON LISTED IN FIELDS 12A-12D ( ( LICENSE TO MARRY I, THE UNDERSIGNED, DO HEREBY CERTIFY THAT THE ABOVE-NAMED PARTIES TO BE MARRIED HAVE PERSONALLY APPEARED BEFORE ME, or the person performing the ceremony has personally appeared before me and PRESENTED AN AFFIDAVIT SIGNED BY THE PARTIES TO BE MARRIED DECLARING THAT ONE OR BOTH OF THE PARTIES ARE PHYSICALLY UNABLE TO APPEAR AND EXPLAINING THE REASONS THEREFOR IN ACCORDANCE WITH FAMILY CODE SECTION 426. THE PARTIES PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSONS CLAIMED, HAVE DECLARED THAT THEY MEET ALL OF TH

FAQs

What requirement is stated for completing the marriage license form?

The form requires that entries be legible and that there be no errors, whiteouts, or other alterations.

What information must the two parties provide?

Each party provides identifying details including names, date of birth, birth state/country, address, city, state/country, zip code, and parental birth names and states/countries, along with information about prior marriages or SRDP.

What declarations and legal acknowledgements are included in the affidavit?

The affidavit declares under penalty of perjury that the parties are unmarried and that the information is true and correct, acknowledges receipt of required information under California Family Code section 358, and applies for a license and certificate of marriage.

Sep 2, 2026

Upload by Pentious