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)
First Person Data
Last Name
Date of Birth
Number of Previous Marriages
 Last Marriage ended in (select one) Divorce, Annulment, Death, NA)
DATE Last Marriage Ended
(if less than 2 years you must
provide dissolution papers)
Fathers First, Middle
and Last Name
First Name
Middle Name
Current Last Name
Birth Last Name (if different)
Date of Birth
Number of Previous Marriages
 Last Marriage ended in (select one) Divorce, Annulment, Death, NA)
Fathers STATE of Birth
If not in USA list Country
Mothers STATE of Birth
If not in USA list Country
Second Person Data
Your Name MUST
 match your
Government Issued Picture ID
Below show your new name(s), ONLY If you plan to change your name on the license.
First Name
Middle Name
Mothers First, Middle
 and MAIDEN Last name
Fathers First, Middle
and Last Name
Your State of Birth
If not in USA list Country
Mothers STATE of Birth
If not in USA list Country
Your State of Birth
If not in USA list Country
Your Name MUST
 match your
Government Issued Picture ID
Fathers STATE of Birth
If not in USA list Country
Birth Last Name (if different)
Mothers First, Middle
 and MAIDEN Last name
Party A New Name
First
Middle
Last
Party B New Name
First
Middle
Last
Where and when do you want the license issued? At our Office or your Location?
     When is your ceremony? Did you need us to perform it for you?
 Additional information we should know?
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
CONFIDENTIAL MARRIAGE LICENSE APPLICATION
For Weddings that take place in 
Los Angeles 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.
license005007.jpg

California has two types of marriage licenses available: Public and Confidential.

 

 PUBLIC: (This can only be issued by the County)

You can get married anywhere in the State of California;

You need at least one witness during your ceremony; and

The Marriage Record is recorded and made available to the public.

 

CONFIDENTAL: (This is what we can issue as well as the County.)

You must state you are living together as a couple;

You have to get married in Los Angeles County;

No witnesses are required

The Marriage record is recorded but is confidential and is only available to the two married parties.

 

 

You are stating that:

 

You the undersigned declare that you are unmarried, not minors, and have been living together as a couple and affirm that the information provided for the marriage license is true and correct to the best of your knowledge and belief, that no legal objection to the marriage or the issuance of a license is known to us and hereby apply for a license and Certificate of Confidential Marriage. We further attest that we have read the requirements for a confidential marriage license and that we are eligible to apply for a Confidential Marriage License.You have chosen to purchase the Confidential Marriage License from this Notary Public today. By our signatures below we agree to be bound by the terms and conditions of the marriage license application and hold the Notary harmless for any and all mistakes made on the document.

 

You understand that by purchasing this type of license, you will be the only ones able to purchase certified copies of your marriage license. You may purchase copies by either submitting the “Application for Marriage Record” along with the license when the license returned to the Registrar-Recorder/County Clerk (A notarized statement if identity is now required to obtain certified copies by mail) or you may purchase copies in person at the Registrar-Recorder/County Clerk Office 4 to 6 weeks after your ceremony, Each certified copy is $14.00 and checks can be made payable to RRCC (Registrar-Recorder/County Clerk)

 

The Name Equality Act of 2007 allows you 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 It is unlawful for our employees to answer questions of a legal nature. We cannot advise you how to complete the marriage license application as it relates to your entry of a new name. 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.

 

Marriage License Disclosure Form
INFORMATION REGARDING THE NAME EQUALITY ACT OF 2007

One or both parties to a marriage may elect to change their middle and/or last names by which that party wishes to be known after solemnization of the marriage. Each party applying for a marriage license may choose to include on their marriage license the new name in the spaces provided on the marriage license application without intent to defraud. Changing one’s name through this process can only be done at the time the marriage license is issued by the County Clerk or authorized Notary Public, as applicable. 

Each party to the marriage may adopt any of the following last names:
• The current last name of the other spouse.
• The 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 the last name of either spouse given at birth.
• A hyphenated combination of last names.

Each party to the marriage may adopt any of the following middle names:
• The current last name of either spouse.
• The last name of either spouse given at birth.
• A hyphenated combination of the current middle name and the current last name of the person or spouse.
• A hyphenated combination of the current middle name and the birth last name of the person or spouse.

 
NOTE: You may not change your 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 .

You are not required to change your name, nor are parties required to have the same name.
If one or both parties do not wish to identify a new name on the marriage license, fields 30A thru 31C, as applicable, on the marriage license will be completed with two single dashes. You may not change the information on the marriage license after it has been issued by the County Clerk .
 
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. County Clerk 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.
DATE Last Marriage Ended
(if less than 2 years you must
provide dissolution papers)