Application For Certified Copy Of A Confidential Marriage Certificate Template
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1
2INSTRUCTIONS TO COMPLETE APPLICATION FOR CERTIFIED COPY
OF A CONFIDENTIAL MARRIAGE CERTIFICATE - $17.00 PER COPY IN ALAMEDA COUNTY
Marriage Certificate Information:
1
Print or type number of copies requested.
Print or type party A / name of groom.
Print or type party B / name of bride as shown on marriage license.
Print or type date of marriage.
Print or type city where license was purchased.
Applicant Information:
2
GF
If you ordered online at the Alameda County website, please include the 13-digit Order Confirmation Number.
GF
Print or type name of person ordering copy.
Print or type street address where copy is to be delivered.
We may need to contact you regarding your certificate order.
Print or type telephone number of person ordering copy, including area code.
Print or type email address.
3
Family Code Section 509 permits a party to a confidential marriage to obtain a certified copy of the confidential
marriage certificate “By personally appearing before a notary public…producing proper identification, obtaining a
certificate attesting to the party’s identity…and transmitting the certificate, together with a request for the certified
copy of the confidential marriage certificate, to the county clerk of the county with which the certificate is filed.”
Identify if you are a party to the Marriage (Groom/Bride) or (Party A/B) or entitled as a result of court order, by
checking one box.
Family Code Section 511(a) except as provided in subdivision (b), the county clerk shall maintain confidential
marriage certificates filed pursuant to Section 506 as permanent records which shall not be open to public inspection
except upon order of the court issued upon a showing of good cause. The confidential marriage license is a
confidential record and not open to public inspection without an order from the court.
4
DO NOT COMPLETE THIS PART UNTIL YOU ARE IN THE PRESENCE OF THE NOTARY PUBLIC WHO WILL
PREPARE THE CERTIFICATE OF ACKNOWLEDGMENT IN ITEM 5.
Certificate of Acknowledgment
5
Complete Items 1 through 3 on this application, then take this form to a notary public. Complete and sign the sworn
statement in Item 4 in the presence of the notary public. Request that the notary acknowledge your signature in the
sworn statement in Item 4. Mail the original application, with Sections 4 and 5 completed, and the appropriate fee, to:
Alameda County Clerk-Recorder
1106 Madison Street
Oakland, CA 94607
You may also fax the notarized statement to the office of the Alameda County Clerk-Recorder at 510 208-9957.
J:\RECDOCS\New Clerk-Recorder Form Inventory\2015\Vitals & GB
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