Application for Ontario Marriage Certificate - VitalCertificates.ca

Contact InformationApplication for Ontario Marriage CertificateThis application is to obtain a marriage certificate for subjects who were married in OntarioYou must enter as much information as possible. If information is missing or does not match the original marriage registration there may be delaysin processing your application.Although you can fill out the application online, you cannot save or email it. Please type, print and sign the application then fax, scan and emailor mail your application to us. A receipt, along with your order information, will be issued and sent to you by email or mail.Important Note:Applications are processed upon receipt. As such, we cannot change or cancel applications once received.Marriage Certificates need to be signed for by the person named in the contact information section below. If the person namedbelow is not available, the courier will leave a delivery notice. Rush service is not available for delivery outside of Canada.Your relationship to either party of the marriage?: Self Child of the marriage Parent of either wife/spouse 1 or husband/spouse 2Is either wife/spouse 1 or husband/spouse 2 deceased?: Yes NoIf all of the Next of Kin are deceased, the Extended Next of Kin (Grandmother, Grandfather, Aunt, Uncle, First Cousin, Nephew, Niece, orGrandchild) may apply.If either/both parties to the marriage are deceased, please state your relationship: ____________________________.Name: _______________________________________________Organization/Firm: _________________________________________Mailing Address Telephone Number: (______) ______________________ Extension: _______Daytime Telephone Number: (______) ______________________ Extension: _______Mailing Address: ______________________________________________________________ Apartment: _______ Buzzer Code: _______City: ______________________ Prov./State: ____________________ Country: ___________________ Postal/Zip Code: ______________Email Address: ____________________________________________ (If no email address is provided, your receipt will be mailed)ApplicationPlease complete all sections of the application, including both Wife/Spouse 1 and Husband/Spouse 2 sections.Date of Marriage: _____________________ ______ _________Month Day YearPlace of Marriage: ___________________________, ONTARIOWife/Spouse 1: _____________________________ _____________________________ _____________________________First Name Middle Name(s) Last Name (before marriage)Place of Birth: _____________________ ____________________Province/StateCountryHusband/Spouse 2: _____________________________ _____________________________ _____________________________First Name Middle Name(s) Last Name (before marriage)Place of Birth: _____________________ ____________________Province/StateCountryReason Required: Immigration Divorce Change of Name Pension Benefits Insurance Estate SettlementOther: _____________________________________

Marriage CertificatePayment Information & AuthorizationAll delivery times quoted are average delivery times, and cannot be guaranteed.___ Qty. – Marriage Certificate – 15 to 20 business days – $65.00 each (includes all taxes and mailing costs)___ Qty. – Marriage Certificate – Rush – 5 business days – $100.00 each (includes all taxes and courier costs)___ Qty. – Certified Copy of Marriage Registration – 15 to 20 business days – $75.00 each (includes all taxes and mailing costs)___ Qty. – Certified Copy of Marriage Registration – Rush – 5 business days – $110.00 each (includes all taxes and courier costs)Recent Marriages – A certificate will be issued upon completion of the marriage registration. The registration takes approximately 10weeks from the date of marriage. Rush service is not available for marriages that took place within the last 10 weeks. Please contactthe Registrar’s Office at 1-800-461-2156 if you do require a certificate for a recent marriage on a rush basis.Marriages Prior to 1991 – Marriage Certificate applications where the marriage took place prior to 1991 normally take longer toprocess. Rush service is not available.Marriages Prior to 1965 – Marriages prior to 1965, may not be in electronic format. When applying for a Marriage Certificate for amarriage prior to 1965, it can take up to an extra 6-8 weeks for the registration to be converted into electronic format before processingcan be completed. Rush service is not available.Delivery Outside Canada – Rush service is not available for delivery outside of Canada.Credit Card Type: (or) Phone me for credit card details (cardholder must still sign below).Credit Card Number: _____________________________________________Exp. Date: ___________Name of Cardholder: ________________________________________(Type/Print Name)Date: ____________________________ Signature: _______________________________________By signing below, you are authorizing Express Legal to request a Certificate of Marriage. Your certificate will be sent to you directlyfrom the government agency. If you are the Next of Kin, by signing below, you are certifying that you are the Next of Kin or, that the Nextof Kin is deceased and you are the Extended Next of Kin. Applications without a signature will not be processed.Name: ________________________________________(Type/Print Name)Date: ____________________________ Signature: _______________________________________If paying by money order or certified cheque please mail the completed application along with your payment. All personalcheques will be subject to bank clearing and may take up to 7 days. Any applications received with a personal cheque will beheld until such time as the cheque clears. Payment must be made payable to ‘Express Legal’.Please return your completed application by either:Toll-Free Fax: 1-866-265-6300Scan & Email: support@expresslegal.caRegular Mail: Express Legal, 79 - 622 Front Street, Nelson, BC V1L 4B7