Manchester Township, NJ · Ocean County

Delegation of Authority to Receive Certified Copy of Vital Record

This form lets an authorizing person designate someone else to obtain certified copies of a marriage or civil union record on their behalf from the New Jersey Office of Vital Statistics and Registry.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The authorizing person identifies the authorized individual and provides details about the marriage or civil union record, including both partners’ names, the event date, and its location. The form says it must be signed and dated before a notary public, and the authorized individual must provide valid identification.

Who needs it

A person authorizing someone else to obtain certified copies of a New Jersey marriage or civil union record on their behalf should complete this form.

Why it needs a notary

The form carries a sworn-to-before-me jurat; the authorizing person must sign and date the statement in the notary public’s presence.

How to get this notarized

  1. 1

    Download the Form

    Get the Delegation of Authority to Receive Certified Copy of Vital Record form.

  2. 2

    Fill In the Record Details

    Enter the authorizing person’s information, the authorized individual’s name, and the marriage or civil union record details.

  3. 3

    Book an Online Notary

    Schedule a session with a commissioned online notary before signing the form.

  4. 4

    Sign on Video

    Sign and date the statement during the notary session, following the notary’s instructions.

  5. 5

    Submit the Form

    Provide the completed form to the New Jersey Office of Vital Statistics and Registry; the authorized individual must provide valid identification.

Preview the form

The blank PDF straight from Manchester Township. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I authorize someone to obtain my marriage or civil union record?
Complete the form with your details, the authorized individual’s name, and the requested record information. Sign and date it in front of a notary public; the authorized individual must also provide valid identification.
Do I need to sign this form in front of a notary?
Yes. The form says the statement must be signed and dated in the presence of a notary public. It includes a sworn-to-before-me jurat for the notary’s signature and stamp.
Can I use an online notary for this form?
New Jersey permanently authorizes remote online notarization and remote ink notarization by its own notaries under P.L. 2021, c.179, N.J.S.A. 52:7-10.9 et seq. Confirm the receiving office accepts the notarized form.
Where should I send the completed form?
The form lists the New Jersey Department of Health, Office of Vital Statistics and Registry, in Trenton. For questions about where to submit it, confirm with the municipality if unsure.

Ready to notarize your Delegation of Authority to Receive Certified Copy of Vital Record?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.