MARRIAGE LICENSE APPLICATION - $60.00
Juneau Vital Records Office
5441 Commercial Boulevard
PO Box 110675 Juneau, AK 99811-0675
Phone: (907) 465-3391
Email: bvsoffice@alaska.gov
Anchorage Vital Records Office
3901 Old Seward Hwy Suite 101
Anchorage, AK 99503
Phone: (907) 269-0991
Email: [email protected]
Vital Records website: http:/
/www.vitalrecords.alaska.gov/
Alaska Court website: www.courts.alaska.gov/courtdir/index.htm
The information provided on this Marriage License Application will be used to prepare the Certificate of Marriage.
Please print clearly with blue or black ink. Applications with white-out or cross-outs will not be accepted.
Party A Party B
Name (First, Middle, Last) Name (First, Middle, Last)
Social Security Number* Social Security Number*
Anticipated date of marriage (MM/DD/YYYY)
INSTRUCTIONS
(Please read carefully to avoid processing delays)
Your marriage license application must be filed and issued to you BEFORE your marriage.
Your license will be available for pickup or can be mailed to you 3 business days after a completed
application is receive
d.
The Marriage License Application fee is $60.00 ($70.00 for mailed-out licenses), payable by check or
money order and must be submitted with the application.
1. Each party must complete their section of the marriage license application.
2. Application requirements are as follows:
o Both parties must present a government-issued photo ID. (examples include: driver’s license, state-issued ID, passport,
military ID, or Tribal/BIA card).
o
o
o
o
o
Both parties must be sworn in by a Licensing Officer or Notary and sign this application IN PERSON in their
presence. This can be done at the Juneau or Anchorage Vital Records Office, at any Alaska Courthouse, by an
Alaska postmaster or by a notary in your home jurisdiction.
Both parties must be 18 years of age or older for a license to be issued without consent from parents or legal guardian
(exception: applicant who is under the age of 18 and a member of the US armed forces on active duty).
The number of previous marriages and the dates the marriages ended must be completed. If you were divorced within the
past 60 days, you must provide a copy of your divorce, annulment, or dissolution decree / order.
3. Submit the completed application and fee to the office closest to where the ceremony occurs.
o
o
Either: Alaska Vital Records in Juneau or Anchorage, or an Alaska Court.
Court locations: www.courts.alaska.gov/courtdir/index.htm
4. The application is valid for one year, however once the license is issued and picked up, it is only valid for 90 days. If you do not
get married within that time frame, the license will be void and you must reapply, including another $60.00 fee.
5. After the marriage has taken place and the license has been signed by all parties (party A, party B, the marriage officiant, and
one witness), you must return the original license to a Vital Records Office (in person or by mail) to be registered with the State
of Alaska.
6. Your formal CERTIFICATE OF MARRIAGE which documents that your marriage has been registered with the State (needed for
insurance purposes and name changes, etc.) is an additional $30.00. This document may be ordered after you return your
original Marriage License. The request form is available on our website: www.vitalrecords.alaska.gov
No one younger than 16 years may be married in the State of
Alaska.
If either party is 16 or 17 years old, they must provide a
court order and their legal parents or guardians
must provide written
consent. A birth certificate must be provided to show age of the party(ies) under 18 years. If one party is 16 or 17, there may
not be more than a 3-year age difference between parties.
*Disclosure of your Social Security Number is mandatory under 42 U.S.C. §666 (a)(13) and may be used for child support purposes.
VS 351(a) 06-5232 (Rev.06/2024)
For Office Use Only:
MARRIAGE LICENSE APPLICATION
ALASKA DEPARTMENT OF HEALTH
HEALTH ANALYTICS & VITAL RECORDS SECTION
P.O. BOX 110675
JUNEAU, AK 99811-0675
Application Date
Marriage License Number
Date Issued
PARTY A
Check Preferred Term:
Bride Groom Spouse
PARTY B
Check Preferred Term:
Bride Groom Spouse
Current Name (Must match identification or alternate documentation) Current Name (Must match identification or alternate documentation)
First Middle Last First Middle Last
Last Name as Listed on Your Birth Certificate Last Name as Listed on Your Birth Certificate
Current Street Address or PO Box Current Street Address or PO Box
City / Town State / Country Zip Code City / Town State / Country Zip Code
Telephone Number (area code + number: xxx-xxx-xxxx) Telephone Number (area code + number: xxx-xxx-xxxx)
Email address Email address
Date of Birth (MM/DD/YYYY) Date
of Birth (MM/DD/YYYY)
Place of
Birth (City, State,
and/or
Country)
Place of Birth (City, S
tate,
and/or Country)
Is there any blood relationship between you and the other Party? *
Yes
No
Is there any blood relationship between you and the other Party? *
Yes
No
Is there any legal reason why this marriage should not be
solemnized?
Yes
No
Is there any legal reason why this marriage should not be
solemnized?
Yes
No
* Alaska
law prohibits marriages between two people more closely related than first cousins. [ See AS 25.05.021(2) ]
Magistrate,
Notary, or
Official who
administers
the oath
Signatures of
both Parties
I do solemnly swear that the information given above is true
and correct to the best of my knowledge and belief.
I do solemnly swear that the information given above is true and
correct to the best of my knowledge and belief.
Subscribed and sworn to before me on: Subscribed and sworn to before me on:
, 20 , 20
Mont
h Day
Year
Month
Day Year
Signature, Title, and seal Signature, Title, and seal
__________________________
__________________________
Important: Do not sign until you are sworn in.
____________________________________________________
Important: Do not sign until you are sworn in.
Consent
(Attached)
Consent given (only necessary if under age 18): Yes, attached.
Consent given (only necessary if under age 18): Yes, attached.
PARTY A PARTY B
Number of this marriage (first, second, etc.):
If previously married, last marriage ended by:
Death Divorce Dissolution Annulment
Number of this marriage (first, second, etc.):
If previously married, last marriage ended by:
Death Divorce Dissolution Annulment
VS 351(a) 06-5232 (Rev.06/2024)
PREVIOUS MARRIAGES
PARTY A PARTY B
Date: Date:
State:
State:
Spouse’s Name: Spouse’s Name:
Marriage Terminated By:
Marriage Terminated By:
Death Divorce Dissolution Annulment
Death Divorce
Dissolution Annulment
On this D
ate:
On this Date:
State:
State:
Date: Date:
State:
State:
Spouse’s Name:
Spouse’s Name:
Marriage Terminated By:
Marriage Terminated By:
Death Divorce Dissolution Annulment
Death Divorce Dissolution Annulment
On this
Date:
On this Date:
State:
State:
Date: Date:
State:
State:
Spouse’s Name: Spouse’s Name:
Marriage Terminated By:
Marriage Terminated By:
Death Divorce Dissolution Annulment
Death Divorce Dissolution Annulment
On this
Date:
On this Date:
State:
State:
Date: Date:
State: State:
Spouse’s Name: Spouse’s Name:
Marriage Terminated By:
Marriage Terminated By:
Death Divorce Dissolution Annulment
Death Divorce
Dissolution Annulment
On this
Date:
On this Date:
State:
State:
VS 351(a) 06-5232 (Rev.06/2024)
Clear Form
First Previous Marriage
Second Previous Marriage
Third Previous Marriage
Fourth Previous Marriage
First Previous Marriage
Second Previous Marriage
Third Previous Marriage
Fourth Previous Marriage
