county logo

Marriage Kiosk

 
Fill out the form below. When you are done, click the “Submit” button at the bottom.
If required information is missing, red text will appear on the right of
the screen to indicate the incomplete field.
Tips:
Full Last Name
This is your current last name. Name changes do not occur during this process.
Maiden/Given Name
This is the last name you were born with. If your maiden name is the same as your current last name, leave it blank.
Suffix
ex: Jr, Sr, I, II, III, IV, V
Social Security #
If you do not have a social, enter 000-00-0000.
County
ex: Indian River, Orange, Miami-Dade, etc.
Birth State
If you were born outside the county, type the country name and press enter.
Number of this Marriage
What number will this new marriage be? ex. If you were married once before, you will enter 2.

Spouse 1

First Name (Nombre Primero) Full Middle Name (Segundo)
Full Last Name (Appelido) Suffix (Sufijo)
Maiden/Given Name (Appelido de soltera)
Race (Race) Social Security # (Seguro Social)
Street Address (Direccion) City (Ciudad)
State (Estado) Zip Code (Codigo Postal)
County (Condado) Phone # with Area Code (Teléfono con código de área)
Date of Birth (Fecha de Nacimiento - MM/dd/yyyy) Birth State (Nacimiento Estado o Pais)
Ever Married Before (click box below) (Anteriorment se casó?) Number of This Marriage (Número de este matrimonio)
Last Marriage Ended Date (Fecha de matrimonio anterior - MM/dd/yyyy) Reason Marriage Ended (Ultimo Martrimonio Termino Por)

    Spouse 2

    First Name (Nombre Primero) Full Middle Name (Segundo)
    Full Last Name (Appelido) Suffix (Sufijo)
    Maiden/Given Name (Appelido de soltera)
    Race (Race) Social Security # (Seguro Social)
    Street Address (Direccion) City (Ciudad)
    State (Estado) Zip Code (Codigo Postal)
    County (Condado) Phone # with Area Code (Teléfono con código de área)
    Date of Birth (Fecha de Nacimiento - MM/dd/yyyy) Birth State (Nacimiento Estado o Pais)
    Ever Married Before (click box below) (Anteriorment se casó?) Number of This Marriage (Número de este matrimonio)
    Last Marriage Ended Date (Fecha de matrimonio anterior - MM/dd/yyyy) Reason Marriage Ended (Ultimo Martrimonio Termino Por)
       

      2026 - Marriage Kiosk