Mail-in Application for Copy of Marriage Certificate - New York
New York State Department of Health
Vital Records Section
Mail-in Application for Copy of
Marriage Certificate
Information Page ù Mail-in Application for Copy of Marriage Certificate
General Instructions
ò Do not use this application to submit your request by fax.
ò
Use this application if you are the bride or groom named on the marriage certificate.
ò
If you are not the bride or groom named on the marriage certificate, then you must submit with this application a
copy of documentation establishing a judicial or other proper purpose (see below).
ò
Use this application only if the marriage license was obtained in New York State outside of New York City. Do not
use this application if the marriage license was obtained in any of the five (5) boroughs of New York City.
ò Do not use this application for genealogy requests.
ò
If delivery is to a P.O. Box or to a third party you must submit, with this application, a notarized statement signed by
the bride or groom and a copy of the bride or groom's driver's license.
ò Print a copy of this application, complete and sign.
ò Mail application with check or money order and a copy of any required documentation (see below) to:
For regular handling send by first class mail, registered
mail, certified mail or U.S. Priority Mail to:
For priority handling (add $15.00 per copy ordered) send
by U.S. Postal Express or other overnight carrier only to:
Certification Unit
Vital Records Section
New York State Department of Health
P.O. Box 2602
Albany, NY 12220-2602
Certification Unit
Vital Records Section / 2nd Floor
New York State Department of Health
800 North Pearl Street
Menands, NY 12204
What is a judicial or other proper purpose?
ò If the applicant is not the bride or groom, a judicial or other proper purpose must be documented. An example of a
judicial or other proper purpose would be a marriage record needed by the applicant to claim a benefit.
ò Documentation would consist of a copy of a court order or an official letter verifying that a copy of the requested
marriage record is required from the applicant in order to process a claim.
Fees: If no record is on file, a No Record Certification will be issued and the fee is not refunded.
ò
For regular handling: The fee is $30.00 per copy. ù Total for one (1) copy is $30.00. Total for two (2) copies is
$60.00, etc.
ò
For priority handling: The fee is $30.00 + $15.00 per copy ù Total for one (1) copy is $45.00. Total for two (2)
copies is $90.00, etc. Please send the application by overnight carrier to ensure priority handling.
ò Send check or money order payable to the New York State Department of Health. Do not send cash.
Note:
Payment submitted from foreign countries must be made by a check drawn on a United States bank or by
international money order. Do not send cash.
Processing Time
ò Up to two (2) weeks when ordered with priority handling and submitted by overnight carrier.
ò A minimum of eight (8) to ten (10) weeks when ordered without priority handling.
For faster processing, you may wish to use your credit card and submit your request by e-mail, fax, or telephone.
ò
Completing the Form
ò
If you are using Acrobat Reader 5.0 (available as a free download from www.adobe.com) you can fill in the form
directly in Acrobat Reader by clicking on the appropriate space and entering the information (use the TAB key to
move to the next field, shift-TAB to move backwards). Print the completed form, sign and mail to the above address.
«
ò You can print out a blank copy of the form and then type or print the required information.
ò
Be sure to sign the form before mailing and include a check or money order made payable to the New York State
Department of Health along with any required documentation.
DOH-301B(p) (09/2003)
Page 1/2
Free Download
Mail-in Application for Copy of Marriage Certificate - New York PDF
Favor this template? Just fancy it by voting!
(0 Votes)
0.0
Related Forms
3 Page(s) | 2494 Views | 14 Downloads
