Intended date of the event *

{[PNAME]}

In which County? *

What is this application for? *

{[CNAME]}

In which Municipality? *

Provide details of where and when the event will be held (in the State of New Jersey)

Note: For a second ceremony for an original marriage or a civil union, choose 'Remarriage'. Remarriage is only for the same spouse or civil union partner. For any second or third marriages, choose 'Marriage'.

Event

Paramus Board of Health
Vital Statistic and Registry
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}

Applicant A
Applicant B
Ceremony

Social Security Number *

Country (if applicable)

Email *

Name of Most Recent Civil Union Partner

Municipality of Residence *

Gender *

Name of Most Recent Spouse

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) (not required for re-marriage or reaffirmation)

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) (not required for re-marriage or reaffirmation)

If "YES," how?

Street Address *

Place of Birth *

Social Security Number *

No. of times ever Married

County *

State *

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

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

Country (if applicable)

Parent's Full Name at Birth *

Date

Type of Ceremony

Parent's Full Name at Birth *

Place of Birth *

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

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:

A copy of the prepared application that will be emailed to you after you "Request Appointment" below.
Proof of identity, e.g. Driver's license, passport or state/federal I.D.
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.
Your Social Security Number (will be kept confidential)
A witness, eighteen (18) years of age or older (must speak/understand English)
Application Fee of $28.00.
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

Phone # *

ZIP *

Officiant

Phone # *