License Application Form – Florida Marriage License Express

Spouse/Groom

Name (Provide complete name, no initials.)

First Middle Last

Email

Address

Street Address City State / Province / Region ZIP / Postal Code Country

County/Province

Date of Birth

Place of Birth

Spouse's Race

White
Black
Hispanic
Other

Please Select One Form of Identification

Social Security Number (US Citizens)
Passport Number (Foreign Citizens Only)

Social Security Number (US Citizens)

Passport Number (Foreign Citizens Only)

Country of Citizenship

Phone

Has this Spouse Been Married Previously?

Yes
No

Number of Marriages (Including this one)

Date of Last Marriage's End

Reason for Marriage Ending

Divorce
Annulment
Death

Date of Death

Spouse/Bride

Name (Provide complete name, no initials.)

First Middle Last

Maiden Name (If Married Before)

Email

Address

Street Address City State / Province / Region ZIP / Postal Code Country

County/Province

Date of Birth

City/State of Birth

Spouse's Race

White
Black
Hispanic
Other

Please Select One Form of Identification

Social Security Number (US Citizens)
Passport Number (Foreign Citizens Only)

Social Security Number (US Citizens)

Passport Number (Foreign Citizens Only)

Country of Citizenship

Phone

Has this Spouse Been Married Previously?

Yes
No

Number of Marriages (Including this one)

Date of Last Marriage's End

Reason for Marriage Ending

Divorce
Annulment
Death

Date of Death

Wedding Information

Wedding Date

Wedding City

Date of Arrival

Wedding Officiant or Company Name

Wedding Officiant or Company Phone

Wedding Officiant or Company Email