Fillable Printable Marriage or Divorce Certificate - Wyoming

Marriage or Divorce Certificate - Wyoming

STATE OF WYOMING

APPLICATION FOR CERTIFIED

COPY OF MARRIAGE OR DIVORCE

CERTIFICATE

A request for a certified copy of a marriage or divorce

certificate should be submitted on this form along with

the fee of $13.00 per copy. A money order or a

personalized check from the person making the request

should be made payable to VITAL RECORDS

SERVICES. If a record is not located, your fee will be

retained as a searching fee.

Please enclose a self-addressed, stamped envelope

with the application.

Type of record requested

(check one): Marriage____ Divorce____

Enclosed is $_______for______certified copy/copies.

The fee listed above includes a surcharge for the

Wyoming Children’s Trust Fund used to establish

programs for the prevention of child abuse and neglect.

Wyoming Statute 35-1-428 requires Vital Records

Services to collect this surcharge on all certified copies

and search of the files.

Date of Occurrence _____/_____/_____

Place of Occurrence

City______________ ___ or Count y__ _ _____________

Signature of Husband or Wife Named on Certificate

X__________________________________

Name of Wife

First Name __________________________

Middle Name __________________________

Last Name __________________________

Maiden Name __________________________

PHOTOCOPY OF IDENTIFICATION

Name of Husband

First Name __________________________

Middle Name __________________________

Last Name __________________________

Mail your request to:

Vital Records Services

Hathaway Building

Cheyenne, WY 82002

Address to Which Copy Should be Mailed

__________________________________

Written signature must be a permanent

Part of ID