Marriage Permission/dispensation Form Page 2
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1
2PERMISSION REQUESTS
(please check all lines that are applicable)
______Permission for Mixed Religion (for a Catholic to marry a baptized, non-Catholic)
______Permission for a Catholic to marry an unbaptized person in a suitable place other than a church with a
Catholic priest/deacon officiating using the Catholic form/rite of marriage (Dispensation from Disparity of
Cult required—check below) Under no circumstances is a wedding outdoors permitted.
______Permission for a marriage listed in Canon 1071. Specify:________________________________________
______Permission for (other) ____________________________________________________________________
DISPENSATION REQUESTS
(please check all lines that are applicable)
______Dispensation from Disparity of Cult (for a Catholic to marry an unbaptized person)
______Ad Cautelam (baptism doubtful)
______Dispensation from consanguinity, affinity or adoption. Specify relationship:_________________________
______Dispensation from Canonical Form (for a Catholic to marry a non-Catholic, with required
permission/dispensation, in a non-Catholic church or other suitable place with a non-Catholic minister officiating.)
NOTE: A Catholic marrying a baptized non-Catholic must be married either in a Catholic church or the
church of the baptized non-Catholic. A Catholic marrying an unbaptized person may request permission to
be married in a suitable place, such as a hotel or country club. Under no circumstances is a wedding outdoors
permitted. Granted with the following understanding:
1.
All documentation, investigation and preparation which is required for all marriages is completed in advance
of the wedding.
2.
It is your obligation to see that the wedding is properly recorded in the marriage register of the parish from
which the application for this dispensation was made, and to see that all the marriage papers are properly
filed. Parish for filing marriage papers:________________________________________________________
3.
It is your responsibility to notify the place of baptism after the wedding has taken place or to notify the
Chancery if the wedding is canceled after obtaining the dispensation.
4.
A certificate from the minister attesting to the fact that the wedding has taken place and a copy of the civil
marriage license should be obtained by you and filed with the other marriage papers.
5.
It is understood that there will be only one ceremony. If you are invited to participate in the non-Catholic
wedding service, you may do so to the extent of offering additional prayers, blessings or words of greeting
and exhortation. If the wedding is not part of the Lord's Supper or the principal liturgical service of the
Word, you may, if invited, read a lesson and/or give a homily.
6.
The Catholic party should be informed that in the event a Catholic ecclesiastical record is needed in the
future, it should be sought from the parish where the marriage papers are filed.
CANONICAL REASON(S) FOR REQUESTING PERMISSION/DISPENSATION:
(please check all lines that are applicable)
_____Spiritual welfare of the parties
_____Danger of marriage outside the Church
_____Hope of conversion
_____Removal of grave scandal
_____Validation of an invalid marriage
_____Special relationship to non-Catholic church/minister
_____Family harmony
_____Other:________________________________
DECLARATION/PROMISE TO BE MADE BY CATHOLIC PARTY:
I reaffirm my faith in Jesus Christ and, with God’s help, intend to continue living that faith in the Catholic
Church.
I promise to do all in my power to share the faith I have received with our children by having them baptized
and reared as Catholics.
Signature of Catholic Party___________________________________________ Date_______________________
Revised 08/2012
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