Form Vs-230 - Application For A Certified Copy Of Marriage/divorce Certificate
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110)
VS-230
MARRIAGE/DIVORCE
(Rev.3.2016
COMMONWEALTH OF KENTUCKY
STATE REGISTRAR OF VITAL STATISTICS
APPLICATION FOR A CERTIFIED COPY OF MARRIAGE/DIVORCE CERTIFICATE
Certificates of Marriage/Divorce that occurred in Kentucky since June 1958 are on file in this office
Please Print or Type All Information Required On This Form
MARRIAGE/DIVORCE CERTIFICATE INFORMATION
FIRST PARTY
First
Middle
Last
1. Current Legal Name
First
Middle
Last
2. Legal Name Previous
To Marriage
SECOND PARTY
3. Current Legal Name
First
Middle
Last
4. Legal Name Previous
First
Middle
Last
To Marriage
ISSUANCE INFORMATION
Kentucky County
Month
Day
Year
5. County in Which
6. Date of Marriage
Marriage License
Issued
7. County in Which
Kentucky County
8. Date of Divorce
Month
Day
Year
Divorce Decree
Granted
DO NOT WRITE IN THIS SPACE
Signature and telephone number of the person requesting this certificate:
Volume
Certificate
_____________________________________
___________________
Year
Signature
Telephone
_____________________________________________________________________________________________________
Date
Certificates may also be ordered by the following methods:
Searched by
Internet: Certificates may be ordered on the internet using a credit card (Visa, MasterCard,
FEES
Discover or American Express) or check. An additional charge card fee will apply.
A fee is to be paid for certified copies or records,
This is in addition to the fee for each certified copy requested. Certificates requested via
internet, , may be returned by
or for a search of the files or records when no
overnight courier for the cost of the additional shipment fee if that record is available.
copy is available. The fee for a certified copy of
a Marriage/Divorce certificate is $6.00 U.S.
Telephone: Orders may be placed by telephone using a credit card (Visa, MasterCard,
Additional copies are $6.00 U.S. each. Make
Discover or American Express) or check. An additional charge card fee will apply. This is in
check or money order payable to “Kentucky State
addition to the fee for each certified copy requested. Certificates requested via telephone may
be returned by overnight courier for the cost of the additional shipment fee. The telephone
Treasurer.” This fee is non refundable.
number to place your order is (800) 241-8322, choose option 1.
________ Marriage Certificates @ $6.00 each
Mail: Orders are accepted by mail, using a check or money order in U.S. dollars drawn on a
U.S. bank for payment. It can take up to 30 working days to process your request from the
How many
date payment is posted. Mail to Vital Statistics, 275 East Main Street 1E-A, Frankfort, KY
________ Divorce Certificates @ $6.00 each
40621. The Office of Vital Statistics telephone number is (502) 564-4212.
How many
Walk-in: You may order a certified copy of the marriage/divorce record by coming to this
Total Amount Enclosed __________
office. The office is located at the address above. Orders are accepted for same day issuance
from 8:00 AM until 3:30 PM Monday through Friday.
______________________________________________________________________________________________________________________________
THIS SECTION MUST BE COMPLETE FOR ALL ORDERS
REQUESTORS INFORMATION:
NAME
MAILING ADDRESS
CITY, STATE, ZIP CODE
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