Yellowstone County, MT · Yellowstone County
Premarital Testing for Rubella Immunity
Marriage license applicants file this form with the Clerk of the District Court to document rubella testing, medical exemption, or an informed-consent waiver.
At a glance
- Issued by
- City of Yellowstone County · Yellowstone County, Yellowstone County, Montana
- Notarization
- Not required: file this form without a notary.
- Official source
- yellowstonecountymt.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form documents a female marriage license applicant’s rubella blood test or medical exemption, or allows both applicants to request a waiver after reviewing information about rubella immunity. The appropriate section must be completed, and both applicants must sign. When Section A is used, a physician completes the medical certificate; applicants present the completed document to the Clerk of the District Court issuing the marriage license.
Who needs it
Both applicants for a marriage license complete and sign the appropriate section to document testing, medical exemption, or a requested waiver.
How to submit it
Both applicants sign the document and present it to the Clerk of the District Court who issues the marriage license.
About notarization
This document is signed without a notary; both applicants sign, and a physician completes the medical certificate in Section A when applicable.
How to submit this form
- 1
Download the Form
Download the Premarital Testing for Rubella Immunity form.
- 2
Complete the Appropriate Section
Complete Section A for a medical certificate or Section B to request a waiver.
- 3
Have the Physician Complete Section A
If using Section A, have the physician complete the medical certificate.
- 4
Sign and Present the Form
Both applicants sign the form and present it to the Clerk of the District Court who issues the marriage license.
Frequently asked questions
- Who completes the Premarital Testing for Rubella Immunity form?
- Both marriage license applicants complete and sign the appropriate section. If Section A is used, a physician completes the medical certificate.
- Do I need a notary for the Premarital Testing for Rubella Immunity form?
- No. The applicants sign the form without a notary. A physician completes Section A when applicable.
- How do I submit the Premarital Testing for Rubella Immunity form?
- Both applicants sign the completed document and present it to the Clerk of the District Court who issues the marriage license.
- What options does the form provide?
- The form records a rubella blood test or medical exemption, or lets both applicants request a waiver after reading the information about rubella immunity testing.