FORM
CC2002B
9/20/2016
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THE CITY OF NEW YORK
OFFICE OF THE CITY CLERK
MARRIAGE LICENSE BUREAU
MAIL REQUEST FOR MARRIAGE RECORDS
(From 1950 to present)*
NOTE:
Marriage records less than fifty (50) years old will be released only:
(a)
to parties to the marriage;
(b)
to persons presenting written authorization from one of the parties to the marriage; or
(c)
to attorneys in cases where such records are required as evidence (When making a written
request, attorneys must utilize their official stationery and must indicate the party or parties
that they represent, the nature of any pending action, and make an affirmative statement that
such
records are required as evidence in such proceedings.)
(PRINT CLEARLY IN BLACK INK)
Date of marriage
Month: Day: Year:
Borough where the
ceremony: license was issued:
If uncertain, specify other years you want searched: License No.
Bride/Groom/Spouse A
Birth
Full legal name before marriage:
date:
Bride/Groom/Spouse B
Birth
Full legal name before marriage:
date:
Reason search & copy are needed: Number of copies requested:
Name of person requesting search: Your relationship to either spouse: Your telephone no:
Your address:
Street Apt No. City State
Zip Code
I solemnly swear, under penalty of perjury, that the foregoing information is true and correct and
(CHECK ONE BOX ONLY)
(_)
I am a party to the marriage.
(EITHER SPOUSE)
(_)
The written authorization from a party to the marriage is a genuine request from such party and such party
has
authorized me to request and receive such records.
(THIRD PARTY WITH WRITTEN AUTHORIZATION ONLY)
(_)
I am an attorney in good standing or a representative thereof and such records are required as evidence
in a
legal proceeding.
(ATTORNEYS OR THEIR REPRESENTATIVES ONLY)
(_)
I am the__________ (relation) of the above-named person and the marriage record will be used
for a proper
legal purpose.
(
RELEASE OF RECORD UNDER THIS SECTION MUST BE APPROVED BY LEGAL DEPT.
)
(_) I am a law enforcement officer or_______________ and the marriage record will be used for a proper purpose.
(LAW ENFORCEMENT PERSONNEL ONLY)
X
Signature (DO NOT PRINT)
Date:_______________________
*Records from 1866 to 1949 can be obtained from the Municipal Archives, 31 Chambers Street, Rm. 103, New York, NY 10007.
Call 311 or (212) NEW YORK if outside New York.
FORM
CC2002B
9/20/2016
INSTRUCTIONS
Complete this form.
Be sure to check off the appropriate sworn statement and sign in the signature
block. No request will
be processed without a signed sworn statement. Enclose a photocopy of your
identification. Acceptable forms of
identification are: IDNYC, a driver's license issued by any state of
the USA or its territories (including learner's permit);
Non-driver's identification card issued by any
state of the USA or its territories; active U. S. military ID; passport;
permanent resident card (green
card); employment authorization card issued by the Bureau of Immigration and Customs of the
Department of Homeland Security and Certificate of Naturalization issued less than ten years ago.
You should copy
the pages in the passport with your picture and personal information. Enclose the
appropriate fee and mail to:
City Clerk of New York
141 Worth Street
New York, NY 10013
Attn: Record Room
Fee Schedule:
All fees are payable in advance by United States postal money order or money
order/certified check
drawn on a United States bank or other financial institution and payable in U.S.
currency to "The City Clerk of New
York." Each certified copy of a marriage certificate costs $15.00
and each additional certified copy is $10.00. A search for a
second year costs an additional $1.00 and
searches for any additional year after the second year cost an additional 50 cents each. For example a
four year search and one certified copy would cost $17.00.
PLEASE NOTE THERE ARE DIFFERENT TYPES OF MARRIAGE CERTIFICATES. For
instance, if you require a marriage certificate for use in a foreign jurisdiction (including obtaining a
passport from a US-based foreign consulate) you need an extended form which costs $35 for the
initial copy and $30 for any additional copies. For most domestic
purposes, you will need a short
form which costs $15 for the initial copy and $10 for any additional copies.
If
you are
unsure of the
form of marriage certificate you need, please call 311 or (212) NEW YORK
if
outside of New York.
If
you
do not specify the form you desire you will be sent a short form.
