Supplementary Marriage Record Form

To be filled out by all who have been previously married, whether in a Greek Orthodox Church, another Church, or civilly.

1. First and last name of applicant for wedding license. *

2. How many times have you been married? *

A. Previous spouse(s) Name(s) *

	You must have at least one name.
1.	You must have at least one name.
2.	You must have at least one name.
3.	You must have at least one name.

B. Previous spouse(s) religion *

C. Date of previous marriage. (List the date of your civil marriage if this is your first marriage) *

D. Place of previous marriage. (List the place of your civil marriage if this is your first marriage) *

E. Previous marriage performed by whom? (Priest or Minister or Civil Official) *

If the above marriage(s) have been dissolved, please complete the form below.

A. Dissolved by Death. *

Please scan and upload death certificate.

B. Civil Divorce. *

Please scan and upload civil divorce decree.

C. Ecclesiastical Decree. *

Please scan and upload ecclesiastical divorce decree.