Intended date of the event*
{[PNAME]}
What is this application for? *
In which Municipality? *
Provide details of where and when the event will be held (in the State of New Jersey)
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Event
  • Applicant A
  • Applicant B
  • Ceremony
Social Security Number *
Email *
Name of Most Recent Civil Union Partner
Municipality of Residence *
Gender *
Name of Most Recent Spouse Given at Birth
Are you related to Applicant B? *
Current Name (if different)
Street Address *
Place
Phone *
State *
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
Type of Ceremony
Date
Domestic Status (at this time) *
ZIP *
No. of times ever Married
Date
Declaration of Applicant A
Parent's Full Name at Birth *
County *
Place of Birth *
No. of times ever in a Civil Union
Date of Birth *
Place of Birth *
If "YES," how?
Place of Birth *
Name on Birth Certificate (First, Middle, Last) *
Parent's Full Name at Birth *
Applicants MUST provide their social security numbers (N.J.S. 37:1-17). Social Security Numbers shall be kept confidential and may only be released for child support purposes and this document shall not be considered a public record pursuant to P.L. 1963, C.73 (C.47:1A-1 et seq.) Giving false information constitues perjury.
Place
Domestic Status (at this time) *
If "YES," how?
Street Address *
Place of Birth *
Social Security Number *
No. of times ever Married
County *
State *
Place
Place
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
No. of times ever in a Civil Union
Phone *
Name of Most Recent Spouse Given at Birth
Place of Birth *
Municipality of Residence *
Current Name (if different)
Name on Birth Certificate (First, Middle, Last) *
Date of Birth *
Name of Most Recent Civil Union Partner
Declaration of Applicant B
Parent's Full Name at Birth *
Date
Type of Ceremony
Parent's Full Name at Birth *
Place of Birth *
Applicants MUST provide their social security numbers (N.J.S. 37:1-17). Social Security Numbers shall be kept confidential and may only be released for child support purposes and this document shall not be considered a public record pursuant to P.L. 1963, C.73 (C.47:1A-1 et seq.) Giving false information constitues perjury.
Gender *
Email *
Are you related to Applicant A? *
ZIP *
Date
City *
Provide a mailing address and phone number where either applicant can be reached after the ceremony
Late night appointments are available once a month. Please call 732-615-2094 to schedule.
Mailing Address *

**Please note that the listed days below are Year 2024 Holidays during which the Municipal Offices are scheduled to be closed.

DAY DATE HOLIDAY
Monday
Monday
Monday
Friday
Monday
Thursday
Monday
Monday
Tuesday
Monday
Thursday
Friday
Wednesday

January 1
January 15
February 19
March 29
May 27
July 4
September 2
October 14
November 5
November 11
November 28
November 29
December 25

 New Year’s Day
Martin Luther King Day
Presidents’ Day
Good Friday
Memorial Day
Independence Day
Labor Day
Columbus Day
Election Day
Veterans Day
Thanksgiving Day
Thanksgiving Friday
Christmas Day

The applicants named in this application must appear before the Registrar TOGETHER, unless previously authorized by the Registrar, or in the event of an emergency.

Note that this application CANNOT be mailed to the Registrar's Office.

When presenting yourselves to the Registrar you must bring the following items with you:

  1. A copy of the prepared application that will be emailed to you after you "Request Appointment" below.
  2. Proof of identity, e.g. Driver's license, passport or state/federal I.D.
  3. Proof of residency, only if your identification is not your valid Driver's License and you live in {[CITY]}, e.g. Bank Statement, Utility Bill, Pay Stub within last ninety (90) days.
  4. Your Social Security Number (will be kept confidential)
  5. A witness, eighteen (18) years of age or older, who knows both parties and is not the officiant. (must speak/understand English)
  6. Application Fee of $28.00.
  7. If either applicant is divorced or widowed (Date & Place of Divorce/Widowed )

The witness must know BOTH Applicants, and must be aged eighteen (18) years or older. This witness must present themselves WITH the Applicants to the Registrar’s Office to sign the Oath of Application and Identifying Witness.

State *
Name (First, Middle, Last) *
City *
Next Steps
Correspondence
Title (Priest, Minister, Rabbi, etc.) *
State *
Mailing Address *
Provide details of the person that will be officiating the ceremony
ZIP *
Please schedule an appointment:
ZIP *
Officiant
Phone # *