Intended date of the Event
{[PNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
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)
Event
Select a preferred date and time for your appointment.
  • 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
Age
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 Married
Date
Declaration of Applicant A
Parent's Full Name at Birth
County
Place of Birth
# of Times 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
Age
Social Security Number
# of Times Married
County
State
Place
Place
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
# of Times in a Civil Union
Phone #
Name of Most Recent Spouse
Place of Birth
Municipality of Residence
Current Name (if different)
Are you related to Applicant A?
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
ZIP
Date
Fees
City
Provide a mailing address and phone number 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. Proof of identity, e.g. Driver's license, passport or state/federal I.D.
  2. 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.
  3. Your Social Security Number (will be kept confidential)
  4. A witness, eighteen (18) years of age or older (must speak/understand English)
  5. Application Fee of $28.00.
  6. 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
Application Fee
Phone #
ZIP
Officiant
Phone #