Application For Certified Copy Of Marriage Or Divorce Certificate
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1STATE OF WYOMING
Name of Applicant (Wife, Husband or Partner)
APPLICATION FOR CERTIFIED
First Name
COPY OF MARRIAGE OR DIVORCE
CERTIFICATE
Middle Name
A request for a certified copy of a marriage or divorce
Last Name
certificate should be submitted on this form along with
the fee of $8.00 per copy. A money order or
Maiden Name
personalized check from the person making the request
should be made payable to VITAL STATISTICS
SERVICES. If a record is not located, your fee will be
Name of Spouse (Wife, Husband or Partner)
retained as a searching fee.
First Name
Please enclose a self-addressed stamped envelope
with the application.
Middle Name
Type of record requested:
(Check one): Marriage _____Divorce _____
Last Name
Enclosed is $________ for _____certified copy/copies
Maiden Name
Requests shall include a photocopy of the current
driver’s license, government or state issued ID card, or
Date of Occurrence (Ceremony or Decree)
passport of the person requesting the certificate. We will
also accept a notarized signature of the person making
________/________/________
the request.
Place of Occurrence
PHOTOCOPY OF CURRENT
IDENTIFICATION
City
or County
Signature of Applicant
Written signature must be a permanent
part of the ID and attached to this
X____________________________________________
application
Applicant address (REQUIRED)
____________________________________
____________________________________
____________________________________
Mail your request with a self-addressed,
stamped envelope to:
Vital Statistics Services
Hathaway Building
Cheyenne, WY 82002
WDH_VSS
M arriage
a nd
D ivorce
A pplication
F orm
1
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