Santa Rosa County Marriage License Application

Marriage License Application

Please fill out the following information as accurately as possible.

Please fill in Party 1's information.

Your name must be exactly as it appears on the identification to be presented at time of issuance.

First Name

Middle Name

Last Name

Maiden or Surname

Suffix

Race

Social Security Number (USA ONLY)

Social Security Number (USA ONLY)

Current City of Residence

Current Residence State

Current Residence County

Phone

Date of Birth

Birth State

Previously Married?

Number of this Marriage

Last Marriage Ended By

Last Marriage End Date (If Applicable)

Please fill in Party 2's information.

Your name must be exactly as it appears on the identification to be presented at time of issuance.

First Name

Middle Name

Last Name

Maiden or Surname

Suffix

Race

Social Security Number (USA ONLY)

Social Security Number (USA ONLY)

Current City of Residence

Current Residence State

Current Residence County

Phone

Date of Birth

Birth State

Previously Married?

Number of this Marriage

Last Marriage Ended By

Last Marriage End Date (If Applicable)

Review & Submit

Review Forms Below

;