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Marriage New

This document provides instructions for applying for a certified marriage certificate from the West Virginia Vital Registration Office. Applicants must include a $12 nonrefundable search fee and specify their relationship to the bride or groom. Acceptable forms of ID are also listed, including a driver's license, passport, or two secondary documents with name and address like a utility bill or bank statement. Marriage records are confidential except for those over 50 years old, which can be obtained by the parties on the certificate or their adult children.

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Karen Newton
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35 views2 pages

Marriage New

This document provides instructions for applying for a certified marriage certificate from the West Virginia Vital Registration Office. Applicants must include a $12 nonrefundable search fee and specify their relationship to the bride or groom. Acceptable forms of ID are also listed, including a driver's license, passport, or two secondary documents with name and address like a utility bill or bank statement. Marriage records are confidential except for those over 50 years old, which can be obtained by the parties on the certificate or their adult children.

Uploaded by

Karen Newton
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office Use Only

Application for Certified Marriage Certificate WHEN STAMPED PAID

$150.00
Note: A $12.00 nonrefundable search fee Vital Registration Office THIS IS YOUR RECEIPT
must accompany this application. This fee Room 165 CASH
includes one copy, if found. Each additional 350 Capitol Street CHECK
copy is $12 . Cashis sent at sender’s risk. Charleston WV, 25301-3701 MONEY ORDER
Make check or money order payable to (304) 558-2931
“VITAL REGISTRATION” www.wvdhhr.org NO. COPIES 1

AMOUNT 12

GROOM’S NAME DATE OF MARRIAGE


(FIRST-MIDDLE-LAST)

BRIDE’S MAIDEN NAME MONTH/DAY/YEAR


(FIRST-MIDDLE-LAST)

PLACE OF APPLICATION

CITY COUNTY STATE WV


Mail Certificate to
What is Your Relationship to the Bride or the Groom ?

Mailing Address
I understand that intentionally making a false statement on this application or obtaining,
possessing, or using a vital record other than is allowed by law or using the vital record of
Suite or Apartment Number
another with an intent to deceive is a FELONY under the law of the State of West Virginia
(WV Code §16-5-38).

City, State, Zip

Signature Required
Marriage records are confidential and not open to the general public, except for those that are at least 50 years
old.

Who is entitled to obtain records:

● The parties that are listed on the marriage certificate;


● Adult children that were a product of the marriage; and
● Legal representatives (proof of legal representation also required).

Proof of relationship may also be required.

All requests must be accompanied by a valid ID as listed below. The acceptable documents listed may change without
prior notice. For mail requests, a photocopy of the document is sufficient, please do not send the original.

Submit one (1) document from the primary list OR two (2) documents from the secondary list.

Primary Documents

● DMV-issued driver's license unexpired or expired for not more than five years;
● DMV-issued learner's/instruction permit unexpired or expired for not more than five years;
● DMV-issued photo identification card (excluding child ID cards) unexpired or expired for not more than one year;
● Current Photo ID card, (school and employment). Check Cashing Cards are not acceptable;
● Unexpired U.S. military ID card of an active duty or retired member (ID cards of military dependents are not
acceptable as primary identity documents);
● U.S. Passport unexpired or expired for not more than five years;
● West Virginia Criminal Justice Agency Offender Information Form; or
● United States Probation Offender Information Form

Secondary Documents (Require two of below selections)

● Social Security Card


● A utility bill (phone, electric, gas, water, etc.) with your name and current address;
● Automobile registration with your name and current address;
● Automobile insurance card with your name and current address;
● Voter’s Registration Card with your name and current address;
● Checking account deposit slip or bank statement stating name and current address;
● Paycheck stub or a W-2 form with your name and current address;
● U.S. Selective Service Card;
● U.S. military discharge papers (form DD214);
● Health care insurance card;
● Unexpired welfare/social services identification card with photo, issued by a municipality;
● Unexpired weapons or gun permit issued by federal, state or municipal government; or
● Veterans’ Universal Access Identification Card.

WV Vital Registration
350 Capitol St. Rm. 165, Charleston, West Virginia, 25301-3701
Information Line: (304) 558-2931

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