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V02M (California)

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V02M (06/22/17)
Page 1 of 2
COUNTY OF SAN DIEGO
ERNEST J. DRONENBURG, JR.
ASSESSOR/RECORDER/COUNTY CLERK
www.sdarcc.com
BY MAIL
APPLICATION FOR A MARRIAGE CERTIFICATE,
LETTER CONFIRMATION OF MARRIAGE, OR
LETTER OF NO RECORD
$15.00 - PER COPY
FEES ARE NON-REFUNDABLE
FOR OFFICIAL USE ONLY
Per California State Law, Health and Safety Code, Section 103526(c), permits only authorized
persons as defined below to request certified copies of Marriage Records. Those who are not
authorized by Law to receive a certified copy of a non- confidential Marriage Record will receive a
certified informational copy marked “INFORMATIONAL, NOT A VALID DOCUMENT TO ESTABLISH
IDENTITY.”
FOR OFFICIAL USE ONLY
Type of identification provided, if processed in person:
Driver’s License
Passport
Military ID
Other ___________
Those who are not authorized by Law to request a confidential Marriage Record will receive a “Letter Confirming the Existence of the Marriage”.
If we cannot identify the record based on the information you provided, State Law requires that we retain the fee and issue a “Letter of No Record”.
Please wait 2 weeks from the date of event before submitting your request. You will be asked to present a valid photo ID for all in-person requests.
Note: A marriage certificate can only be purchased from San Diego County if the marriage license was issued from this County.
I would like a certified copy of a non-
confidential marriage record. (You must
indicate your relationship to the person
named on the certificate by marking a box in
the list to the right.)
OR
I would like a certified informational copy of a
non-confidential marriage OR a letter
confirming the existence of a confidential
marriage.
(A sworn statement is not required.)
I am:
A registrant (must be one of the two persons listed on the marriage certificate).
Entitled to the record as a result of a court order. The original COURT ORDER must be included
with this request.
A parent or legal guardian of a registrant.
A member of a law enforcement agency or a representative of another governmental agency,
as provided by law, who is conducting official business. (Companies representing a
government agency must provide authorization from the government agency.)
A child, grandparent, grandchild, sibling, spouse, or domestic partner of a registrant.
An attorney representing a registrant or a registrant’s estate, or any person or agency
empowered by statute or appointed by a court to act on behalf of a registrant or a registrant’s
estate. (If you are requesting a Certified Copy under a power of attorney, please include a copy
of the power of attorney with this application form.)
I would like a certified copy of a confidential
marriage record. (You must indicate your
relationship to the person named on the
certificate by marking a box in the list to the
right.)
I am:
A registrant (must be one of the two persons listed on the marriage certificate).
Entitled to the record as a result of a court order. The original COURT ORDER must be included
with this request.
PLEASE TYPE OR PRINT THE INFORMATION REQUESTED BELOW
MARRIAGE INFORMATION ON CERTIFICATE Complete First and Second Person Information
Middle Name
Current Last Name
Birth Last Name
Middle Name
Current Last Name
Birth Last Name
Date of Marriage
No. of Copies
Note: This Sworn Statement must accompany this request in our office before a certificate can be issued.
Requestor’s Name ___________________________________________________________________________
(Please Print)
V02M (06/22/17)
Page 2 of 2
SWORN STATEMENT
I, ____________________________________________, declare under penalty of perjury under the laws of the State of California, that I am an
(Print Name)
authorized person, as defined in California Health and Safety Code, Section 103526(c), and am eligible to receive a certified copy of the
marriage record of the following individuals:
Names of Both Persons Listed on Certificate
Number of
Copies
Applicant’s Relationship to Persons on Listed Certificate
Subscribed to this _______ day of ______________, 20____, at _________________________________, ________________.
(Day) (Month) (Yr) (City) (State)
______________________________________________________
(Applicant’s Signature)
Note: If submitting your order by mail and requesting a Certified Copy, you must have your sworn statement notarized using the Certificate of
Acknowledgment below. The notary is only verifying the identity of the person requesting the copy not the relationship to the registrant.
Only one notarization is required even though the requestor may have a different authorized relationship to each being requested, (i.e. Mother on one
request, Registrant on another request, etc.).
CERTIFICATE OF ACKNOWLEDGMENT
State of _______________________________ County of _____________________________________________________
On _______________________________ before me, ________________________________________________________,
(Here insert the name and title of officer)
Personally appeared _____________________________________ who proved to me on the basis of satisfactory evidence to be the
person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed, the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.
WITNESS my hand and official seal
________________________________________________
NOTARY SIGNATURE
Mail Certificate to:
Name __________________________________________________
Address ________________________________________________
City, State, Zip ___________________________________________
Email __________________________________________________
Phone (______) _________________________________________
Number of copies ____________X $15.00 = ___________________
Please mail this request along with your payment (check or money
order payable to SD County Recorder) to:
San Diego Recorder/County Clerk
Attn: Vital Records
P.O. Box 121750
San Diego, CA 92112-1750
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this
certificate is attached, and not to the truthfulness, accuracy, or validity of that document.
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V02M (California)

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Completed 15 October 2021

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