{[PNAME]}
Intended date of the event
Event Municipality?
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Provide details of where and when the event will be held (in the State of New Jersey)
Event
Event County?
What is this application for?
  • Applicant A
  • Applicant B
  • Ceremony
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.
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
Email
Place
No. of times ever in a Civil Union
No. of times ever Married
Name of Most Recent Spouse
Parent's Full Name at Birth
Current Name (if different)
Name of Most Recent Civil Union Partner
County
State
Name on Birth Certificate (First, Middle, Last)
Date of Status Change
Municipality of Residence
Domestic Status (at this time)
Place of Birth
Date of Birth
If "YES," how?
Type of Ceremony
Social Security Number
Street Address
Phone
Place of Birth
Parent's Full Name at Birth
Declaration of Applicant A
Gender
Place
Date
Place of Birth
Are you related to Applicant B?
ZIP
Place of Birth
ZIP
Name of Most Recent Spouse
Current Name (if different)
Date of Birth
Parent's Full Name at Birth
Name on Birth Certificate (First, Middle, Last)
County
Email
Type of Ceremony
If "YES," how?
Name of Most Recent Civil Union Partner
Place of Birth
No. of times ever in a Civil Union
Street Address
Are you related to Applicant A?
Place of Birth
Place
Date of Status Change
Declaration of Applicant B
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
Place
No. of times ever Married
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.
Domestic Status (at this time)
State
Parent's Full Name at Birth
Phone
Gender
Municipality of Residence
Social Security Number
Date
Phone #
State
Provide details of the person that will be officiating the ceremony
Name (First, Middle, Last)
Mailing Address
Title (Priest, Minister, Rabbi, etc.)
Provide a mailing address and phone number where either applicant can be reached after the ceremony
Witness
City
ZIP
State
State
Name (First, Middle, Last)
Mailing Address
Mailing Address
Next Steps
Correspondence
City
ZIP
Officiant
Appointments are scheduled between 9:30 AM to 3:30 PM Monday through Friday.
Please list your preferred appointment date:
ZIP
City
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 (must speak/understand English)
  6. Application Fee of $28.00, which will be payable at the time of your appointment.
  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.