San Jose Civil Weddings Toggle NavigationHomeHome (Español)ServicesServiciosContactContact (Español)F.A.Q/Preguntas FrecuentesGalleryMLRHomeHome (Español)ServicesServiciosContactContact (Español)F.A.Q/Preguntas FrecuentesGalleryMLR Marriage License Request Information Sheet LICENSE REQUEST INFORMATION FIRST NAME -*1ST PERSONMIDDLE NAME - 1ST PERSON IF NO MIDDLE NAME ENTER --CURRENT LEGAL LAST NAME -*1ST PERSONLAST NAME AT BIRTH -*1ST PERSONDATE OF BIRTH - MONTH/DAY/YEAR -*1ST PERSON MM/DD/YYYYSTATE/COUNTRY OF BIRTH -*1ST PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)# OF PREV MARRIAGES / SRDP -*1ST PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --DATE LAST MARRIAGE ENDED -*1ST PERSON MM/DD/YYYYLAST MARRIAGE / SRDP ENDED BY: -*1ST PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --ADDRESS, CITY, STATE, ZIP CODE -*1ST PERSON FULL BIRTH NAME OF FATHER/PARENT -*1ST PERSON IF UNKNOWN PLEASE PUT "UNKNOWN"FATHER'S STATE OF BIRTH -*1ST PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)FULL BIRTH NAME OF MOTHER/PARENT -*1ST PERSON (IF UNKNOWN PLEASE PUT UNKNOWN)MOTHER'S STATE OF BIRTH -*1ST PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)ID TYPE:-*ID # -*1ST PERSONCHANGING YOUR LAST NAME? -*1ST PERSONBRIEF COMMENTS: -1ST PERSON FIRST NAME *2ND PERSONMIDDLE NAME2ND PERSON IS NO MIDDLE NAME ENTER --CURRENT LAST NAME *2ND PERSONLAST NAME AT BIRTH*2ND PERSONDATE OF BIRTH - MONTH/DAY/YEAR*2ND PERSON MM/DD/YYYYSTATE/COUNTRY OF BIRTH*2ND PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)# OF PREV MARRIAGES / SRDP*2ND PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --DATE LAST MARRIAGE ENDED*2ND PERSON MM/DD/YYYY OR FOR NONE TYPE --LAST MARRIAGE / SRDP ENDED BY:*2ND PERSON INCLUDES (DISSOLUTION, ANNULMENT, DEATH, TERMINATION OF SRDP) OR FOR NONE TYPE --ADDRESS, CITY, STATE, ZIP CODE*2ND PERSON IF SAME OR WILL BE THE SAME AS 1ST PERSON ENTER SAME FULL BIRTH NAME OF FATHER/PARENT*2ND PERSON IF UNKNOWN PLEASE PUT "UNKNOWN"FATHER'S STATE OF BIRTH*2ND PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)FULL BIRTH NAME OF MOTHER/PARENT*2ND PERSON IF UNKNOWN PLEASE PUT "UNKNOWN"MOTHER'S STATE OF BIRTH*2ND PERSON (IF OUTSIDE U.S. ENTER JUST THE COUNTRY)ID TYPE*ID #:*2ND PERSON IDCHANGING YOUR LAST NAME?*2ND PERSONBRIEF COMMENT:2ND PERSONEmail AddressThis site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SUBMITThank you! Your message was sent successfully. / PreviousNextPausePlayClose