CONFIDENTIAL MARRIAGE LICENSE APPLICATION
for LA County Weddings Only
Main Office (562) 435-4000...Los Angeles / Valleys (310) 667-6060...South Bay / Long Beach (562) 799-1206
Out of Area local numbers: Orange County (714) 453-9971...Ventura / Santa Barbara (805) 617-3288...Riverside / San Bernardino (909) 348-7311
Please fill this form out COMPLETELY and click SUBMIT at the bottom of the page
All fields must be filled in. If not applicable put NA.
Your Names
Phone
 Email
Your Full Address
where you live together
You are stating that you live together at this location
Mailing Address
(if different)
Party A PERSONAL DATA
First Name
Middle Name
Last Name
Birth Last Name (if different)
Date of Birth
Number of Previous Marriages
 Last Marriage ended in (select one) Divorce, Annulment, Death, NA)
DATE Last Marriage Ended
Fathers STATE of Birth
(or Country if not USA
Mothers FULL MAIDEN name
Fathers FULL Name
Mothers STATE of Birth
(or Country if not USA)
Your Names MUST
 match your ID
First Name
Middle Name
Current Last Name
Birth Last Name (if different)
Date of Birth
STATE of Birth (or Country if not US)
Number of Previous Marriages
 Last Marriage ended in (select one) Divorce, Annulment, Death, NA)
DATE Last Marriage Ended
Fathers STATE of Birth
(or Country if not USA
Mothers FULL MAIDEN name
Fathers FULL Name
Mothers STATE of Birth
(or Country if not USA)
Party B PERSONAL DATA
Your Name MUST
 match your ID
Party A New Name
First
Middle
Last
Party B New Name
First
Middle
Last
If you plan to change your name you can do it on the license. Below show your new name(s) or put NA
Where and when do you want the license issued? Did you need a ceremony too? Additional Info I should know?
Thank You for submitting your information. I will contact you shortly to discuss your license.
Before you click to submit, please review all the information for accuracy
This is what will appear on your license.
If the information is incorrect or mispelled or does not match your ID
your license may have to be revised or redone for an additional fee
My County Authorization card
to Issue Marriage Licenses
My Ordaination Certificate
to Perform Weddings
Dont be fooled!!

In order to Issue Marriage Licenses
One MUST be Authorized by the County
As we are 

To Perform Legal Marriages
One MUST either be a Judge
or Ordained as a Minister
As we are
STATE of Birth (or Country if not US)
The Name Equality Act (effective January 1, 2009)

The Name Equality Act of 2007 (AB 102, Chapter 567, Statutes of 2007) gives specific rights to parties at the time they are applying for a California marriage license to choose and list on the marriage license the name that each party will go by after marriage.

Parties are not required to have the same name, nor are they required to change their name.

If one or both of the parties want to have their new name(s) shown on the marriage license, the new name must be entered on the marriage license application at the time they are applying for the marriage license. The parties may choose any of the following middle or last names as the name they wish to be known as after marriage [FC § 306.5(b)(2)]:

Current last name of the other spouse
Last name of either spouse given at birth
A name combining into a single last name all or a segment of the current last name or last name of either spouse given at birth
A hyphenated combination of last names
NOTE: You may not change you first name using this process. IMPORTANT: You may not amend the marriage license after it has been issued to add or change the name you wish to be known as after you are married. The name you indicate on the marriage license application will be your name on the marriage license/certificate and cannot be changed by the County Clerk .

A certified copy of the marriage certificate containing the new name, or retaining the former name, shall constitute proof that the use of the new name or retention of the former name is lawful [FC § 306.5(b)(3)(a)].

The marriage certificate is used by multiple local, state, federal and private agencies, each of which have different rules and/or regulations regarding what documents are acceptable to change your name on their records following marriage. It is recommended that you contact these agencies to verify their requirements prior to applying for your marriage license.

It is unlawful for our employees to answer questions of a legal nature. our staff cannot advise you how to complete the marriage license application as it relates to your entry of a new name or retention of your former name on the marriage license application. For your protection, if you have any questions regarding whether you should or should not list your new name on the marriage license application, and/or how the Name Equality Act of 2007 may affect you, please consult an attorney prior to applying for your marriage license.

 
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