Application for License
What Type of Application is this? *
Your
Town
123 Main Ave, Your Town USA 90210
(555) 973-2212
www.yourtown.us
  • Applicant A
  • Applicant B
  • Ceremony
  • Prepare
Social Security Number *
Email *
Name of Most Recent Civil Union Partner (if any)
Municipality of Residence *
Name of Most Recent Spouse (if any)
Are you related to Applicant B? *
Current Name (if different)
Sex *
Street Address *
Place
Phone *
State *
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
Ceremony Type *
Date
Domestic Status (at this time) *
ZIP *
Number of times ever Married (if applicable)
Date
Declaration of Applicant A
Parent's Full Name at Birth *
County *
Place of Birth *
Number of times ever in a Civil Union (if applicable)
Date of Birth *
Place of Birth *
If "Yes," how?
Place of Birth *
Name (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.
Age *
Place of Original Ceremony
(For Remarriage to the same spouse, or Reaffirmation of Civil Union to the same partner ONLY)
Street Address *
Name of Most Recent Civil Union Partner (if any)
Place of Original Ceremony
Declaration of Applicant B
Place
Are you related to Applicant A? *
Sex *
County *
Number of times ever Married (if applicable)
Municipality of Residence *
Parent's Full Name at Birth *
Current Name (if different)
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) *
Phone *
Ceremony Type *
Date
Date
Name of Most Recent Spouse (if any)
Email *
Date of Birth *
ZIP *
Parent's Full Name at Birth *
Name (First, Middle, Last) *
If "Yes," how?
Place of Birth *
Number of times ever in a Civil Union (if applicable)
Social Security Number *
State *
Place of Birth *
Place of Birth *
Age *
City
Intended Date of Ceremony *
Provide a mailing address where either applicant may be reached after the ceremony
Address
Witness Information
State
Name (First, Middle, Last)
City
City
In which Incorporated Municipality in New Jersey do you intend for the ceremony to be performed? *
Mailing Address
Title (Priest, Minister, Rabi, etc.)
State
Mailing Address
ZIP
Ceremony Information
State
Mailing Address
ZIP
The witness must know BOTH Applicants, and must be aged eighteen (18) years or older. A witness does not need to be named at this time but must present themselves with the Applicants to the Registrar's Office to sign the Oath or Affirmation of Application of Applicants and Identifying Witness,
Name (First, Middle, Last)
ZIP
Officiant Details (Person who will be performing the ceremony)
Next Steps
Call the Registrar's Office on (555) 973-2212 to schedule an appointment.

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 ID
  2. Proof of your residency, e.g. Bank statement, utility bill within last 90 days
  3. Your social security card or social security number
  4. A witness that knows BOTH Applicants and, is aged eighteen (18) years or older must accompany the Applicants.
  5. The $28.00 application fee
  6. Place and date of divorce (if applicable)
If you are satisfied that the information provided in this online application is accurate click the button below to prepare the application.