Dunkirk, NY · Chautauqua County

No notary required

Application for Copy of Marriage Record

This application lets a person request a marriage record copy by providing details about the couple, marriage, and purpose of the request.

What this form is

Use this application to request a marriage record copy and select either a certification or a certified transcript. It asks for information about the couple and marriage, the reason for the request, the applicant’s relationship or capacity, and a mailing address. The form says to complete it and remit the fee; it also lists where to apply based on where the license was issued and the year of marriage.

Who needs it

A person requesting a marriage record copy uses this application to identify the record, explain the request, and provide applicant and mailing details.

How to submit it

Complete the form and remit the fee by check or money order payable to the New York State Department of Health; do not send cash or stamps. The form lists application destinations based on where and when the license was issued.

About notarization

This application is signed and dated without a notary; it mentions no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the marriage record copy application PDF.

  2. 2

    Complete The Form

    Provide the couple’s and marriage’s details, the purpose of the request, your relationship or capacity, and your mailing address.

  3. 3

    Prepare The Fee

    Remit the fee by check or money order payable to the New York State Department of Health; do not send cash or stamps.

  4. 4

    Submit The Application

    Use the application destination listed on the form for the license location and year of marriage.

Frequently asked questions

What does the marriage record copy application request?
It requests information about the couple and marriage, the purpose of the request, the applicant’s relationship or capacity, and where to send the record.
Do I need a notary for the marriage record copy application?
No. This application is signed and dated without a notary, and it mentions no notarized or sworn attachment.
How do I submit the marriage record copy application?
Complete the application and remit the fee by check or money order payable to the New York State Department of Health. The form lists destinations based on where and when the license was issued.
What payment does the form request?
The form requests a check or money order payable to the New York State Department of Health and says not to send cash or stamps. It notes no fee for records used for social welfare or veteran’s benefit eligibility determinations.

Need something notarized?

This Application for Copy of Marriage Record doesn’t need a notary — but if you have another Dunkirk form that does, a commissioned online notary can help.