Intended Date of Ceremony
{[PNAME]}
Type of Application
Municipality Ceremony will be Held
Provide details of where and when the event will be held (in the State of New Jersey)
1385 Route 22 East
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]} ext 270
www.mountainside-nj.com
Ceremony Details
  • Applicant A
  • Applicant B
  • Witness
  • Ceremony
  • Fees and Attachments
SSN
Email
Name of Most Recent Civil Union Partner (if any)
Municipality of Residence
Gender
Age
Name of Most Recent Spouse (if any)
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
# of times ever Married (if applicable)
Date
Declaration of Applicant A
Parent's Full Name at Birth
County
Birthplace
# of times ever in a Civil Union (if applicable)
Date of Birth
Birthplace
If "Yes," how?
Birthplace
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 constitutes perjury.
Place of Original Ceremony
Domestic Status (at this time)
If "Yes," how?
Street Address
Birthplace
SSN
# of times ever Married (if applicable)
County
State
Place
Place of Original Ceremony
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
# of times ever in a Civil Union (if applicable)
Phone #
Name of Most Recent Spouse (if any)
Birthplace
Municipality of Residence
Current Name (if different)
Name on Birth Certificate (First Middle Last)
Date of Birth
Name of Most Recent Civil Union Partner (if any)
Age
Declaration of Applicant B
Parent's Full Name at Birth
Date
Type of Ceremony
Parent's Full Name at Birth
Birthplace
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 constitutes perjury.
Gender
Email
Are you related to Applicant A?
ZIP
Date
Upon completion, application is to be retained as a permanent record.
(Giving false information constitutes perjury)
Have the Applicants correctly stated their ages and usual residence?
Name (First Middle Last)
Declaration of Identifying Witness
Zip
Mailing Address (Street/PO Box)
State
City
If “Yes” explain:
Did the applicants make you aware of any legal impediments to their marriage/remarriage/Civil union/reaffirmation of civil union?
City
Provide a mailing address and phone # where either applicant can be reached after the ceremony
Mailing Address
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".
  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 the 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.
  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
Select a preferred date and time for your appointment.
ZIP
Officiant Information
Phone #
Total Application Fee
State Fee
Required Attachments
Application Fee

Please attach:

  1. Valid Form of Identification for Applicant A
  2. Valid Form of Identification for Applicant B
  3. Valid Form of Identification for the Witness
  4. Proof of Address (Mountainside Residency) for one of the Applicants.

Types of Acceptable Proof of Address:

  • Copy of a Current Utility Bill
  • Bank Statement
Office Fee