Bergen, NY · Genesee County
Marriage License Worksheet
This worksheet collects personal, residence, family, and prior-marriage details from people preparing for a marriage in Bergen.
What this form is
The Marriage License Worksheet records information for the bride, groom, or spouse, including names, Social Security number, residence, birth details, and employment. It also asks about previous marriages and how they ended, the upcoming marriage date if known, and where the marriage registration certificate should be sent.
Who needs it
People preparing for a marriage who need to provide personal, residence, family, and prior-marriage information use this worksheet.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This worksheet is signed without a notary; it lists no notarized attachment or sworn step, so the signer just signs and dates it.
How to submit this form
- 1
Download The Worksheet
Download the Marriage License Worksheet PDF.
- 2
Complete The Worksheet
Fill in the requested personal, residence, family, and marriage information.
- 3
Add Prior-Marriage Details
If applicable, provide the requested information about previous marriages and how they ended.
- 4
Submit To The City
Submit the worksheet to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Marriage License Worksheet ask for?
- It asks for personal, residence, birth, employment, and parent information, along with previous-marriage details and the address for sending the marriage registration certificate.
- Do I need a notary for the Marriage License Worksheet?
- No. This worksheet has no notary block or notarized attachment; the signer just signs and dates it.
- How do I submit the Marriage License Worksheet?
- Submit it to the city department named on the form; check the city website for current contact details.