San Jose Civil Weddings Toggle NavigationHomeHome (Español)ServicesServiciosContactContact (Español)F.A.Q/Preguntas FrecuentesGalleryMLRMLR (Español)HomeHome (Español)ServicesServiciosContactContact (Español)F.A.Q/Preguntas FrecuentesGalleryMLRMLR (Español) Marriage License Request Information Sheet LICENSE REQUEST INFORMATION MARRIAGE OPTION:*Option B: $250.00 We provide license / no guestsOption D: $350.00 We provide the license / up to 8 guestsOption F: $500.00 We provide the license at your locationOtherGroom or Bride (1st person on the marriage license) -*GroomBride FIRST NAME -*MIDDLE NAME - IF NO MIDDLE NAME ENTER -- CURRENT LEGAL LAST NAME -*LAST NAME AT BIRTH -*DATE OF BIRTH - MONTH/DAY/YEAR - *STATE OF BIRTH -*Outside of the U.S.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCountry of birth if born outside of the U.S. - # OF PREV MARRIAGES / SRDP -012345678910DATE LAST MARRIAGE ENDED - MONTH/DAY/YEAR - LAST MARRIAGE / SRDP ENDED BY -DISSOLUTIONANNULMENTDEATHTERMINATION OF SRDPN/AADDRESS, CITY, STATE, ZIP CODE -* FULL BIRTH NAME OF FATHER/PARENT -* IF UNKNOWN PLEASE PUT: UNKNOWNFATHER'S STATE OF BIRTH -* (IF OUTSIDE U.S. ENTER JUST THE COUNTRY) FULL BIRTH NAME OF MOTHER/PARENT -* IF UNKNOWN PLEASE PUT: UNKNOWNMOTHER'S STATE OF BIRTH -* (IF OUTSIDE U.S. ENTER JUST THE COUNTRY) Phone #1*Please enter Phone Number ID TYPE -*ID # -*When does the ID expire?DO YOU WISH TO CHANGING YOUR LAST NAME? -*If yes, how would you like to have your last name?BRIEF COMMENTS Groom or Bride (2nd person on the wedding license)*GroomBride FIRST NAME *MIDDLE NAME IF NO MIDDLE NAME ENTER: --CURRENT LEGAL LAST NAME *LAST NAME AT BIRTH*DATE OF BIRTH - MONTH/DAY/YEAR * MM/DD/YYYY STATE OF BIRTH -- Outside of the U.S.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCountry if born outside of U.S.-*# OF PREV MARRIAGES / SRDP .... / .... # DE MATRIMONIOS ANTERIORES *012345678910DATE LAST MARRIAGE ENDED MONTH/DAY/YEAR ---LAST MARRIAGE / SRDP ENDED BY DISSOLUTIONANNULMENTDEATHTERMINATION OF SRDPN/AADDRESS, CITY, STATE, ZIP CODE* IF SAME OR WILL BE THE SAME AS 1ST PERSON ENTER SAME FULL BIRTH NAME OF FATHER/PARENT * IF UNKNOWN PLEASE ENTER: UNKNOWN FATHER'S STATE OF BIRTH* (IF OUTSIDE U.S. ENTER JUST THE COUNTRY) FULL BIRTH NAME OF MOTHER/PARENT * IF UNKNOWN PLEASE ENTER: UNKNOWNMOTHER'S STATE OF BIRTH* (IF OUTSIDE U.S. ENTER JUST THE COUNTRY) Phone #2 --*ID # *Type of ID --*When does the ID expire?--CHANGING YOUR LAST NAME? *BRIEF COMMENTS --Email Address Preferred Date of Marriage (Month/Day/Year), all dates must be confirmed in person, with payment of the total cost to make set an appointment.This 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
