Use this additional page when one of the following is being requested:
Dispensation from Canonical Form
(Section on mixed marriage permission/disparity of cult dispensation must also be completed above)
Place of proposed marriage: _____________________________________________________
(Outdoor settings are not permitted)
Address of proposed place: ____________________________________________________________
Date of proposed marriage: ____________________________
Title and name of officiant: ______________________________________________________________
(Protestant minister, rabbi, judge, etc.)
Dispensation from the canonical form of marriage is requested for the following reasons:
Objections of conscience by non-Catholic participants to Catholic ceremony
To achieve family harmony or avoid family alienation
To obtain parental agreement to the marriage
Significant relationship with non-Catholic minister or religious leader
Religious edifice has particular importance to non-Catholic
Other: _________________________________________________________________________
Rescript – for Curial Use Only
Prot. No. _______________________
Granted
Denied
Dispensation from Canonical Form
Ordinary/Delegate: __________________________________________ Date: _____________________
Permission for a Catholic Wedding in a Secular Location:
A request for a mixed or disparity of cult
marriage by a Catholic priest or deacon in a location other than a Catholic church or oratory are to be
submitted in the form of a letter from the Catholic party attached to this petition. This letter is to give the
reasons for the request, the name and address of the proposed place, and a complete description of the indoor
setting that is proposed for the marriage. A letter of agreement to this arrangement by the officiating priest or
deacon must also be included with the request. Do not complete section “Dispensation from Canonical Form.”
Permission for a Marriage Where a Party has Prior Natural Obligations
Toward Another Party or Children
Statement by the party with prior natural obligations: I affirm that I am currently meeting all moral and
civil legal obligations toward my prior spouse(s) or domestic partner(s) and toward my minor child(ren).
Signature of party: __________________________________________ Date: ____________________
(Documents proving that prior natural obligations are being met do not need to be submitted with this
petition but may be included in the marriage file kept at the parish.)
Rescript – for Curial Use Only
Prot. No. _______________________
Granted
Denied
Prior Natural Obligations Permission
Other Dispensations and Permissions: Other matters requiring permission or a dispensation should be
submitted to the Office of Canonical Affairs in the form of a letter, giving the reasons for the request.
Ordinary/Delegate: __________________________________________ Date: _____________________
Dec-12
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