ADAMS COUNTY CLERK &

RECORDER’S OFFICE

Marriage License and Civil Union

Information Guide

Marriage License and Civil Union

Information Guide

Important Considerations:1. Social Security: Social Security

website: www.ssa.gov or call 800-772-1213.

2. Driver’s License: Nearest office located in shopping center at SW corner of 120th & Washington or call 303-205-5600.

3. Motor Vehicle Registration: For information from Adams County Motor Vehicle, call 720-523-6010 or go online to www.adcogov.org/motor-vehicle.

4. Voter Registration: Change your name at www.govotecolorado.com.

5. Passport: Visit www.travel.state.gov for passport requirements, locations, and fees or call 800-487-2778.

6. Timing: Return your license within 63 days of the ceremony for recording.

7. Documents: Once certificate is recorded, keep your license/certificate in a safe place. We cannot reissue it. Only certified copies are available.

Marriage License and Civil Union Requirements• Ceremony/solemnization must happen in Colorado within 35 days from the date of issue.

• Legal age to acquire a marriage license without consent or order is 18 years of age. Applicants who are 16-17 must have parental consent from both parents. Applicants 15 years of age or younger must obtain a court order.

• To acquire a civil union, you must be at least 18 years of age.• Acceptable forms for proof of age are government-issued IDs (e.g. driver license, passport, Colorado ID card, military ID, etc.)

• Social Security Number is required (or sworn affidavit if you do not have a social security number.)

• Divorce/widow date, if applicable.• Fee is $30. • Hours of issuance are 8 a.m. - 4 p.m.

You can apply on the web at adcogov.org/marriage-or-civil-union-licenses

or in person.

Josh ZygielbaumAdams County Clerk & Recorder

4430 S. Adams County Pkwy., Ste E2400 Brighton, CO 80601

720.523.6020 | www.adcogov.orgMonday - Friday

8 a.m. - 4 p.m.

NO

TE

: TH

IS IS

A M

AR

RIA

GE

LIC

EN

SE

IS

DE

LIV

ER

ED

MU

ST

RE

TU

RN

IT P

RO

MP

TL

Y T

O T

HE

CO

UN

TY

CL

ER

K A

ND

RE

CO

RD

ER

WH

O IS

SU

ED

IT.

T

o any person or religious society Authorized by L

aw to Perform the M

arriage Ceremony:

You are hereby authorized to join in marriage

of

of and of this license you will m

S

TA

TE

OF

CO

LO

RA

DO

,

County

of

It is hereby certified that on the

20 , AD

at in said county, the undersigned, did join in M

atrimony in accordance with the of the state of C

olorado and the authorization of the foregoing license of of

Witness, my hand the day and year last above written

Witn

ess Sig

natu

re W

itness S

ignatu

re

RE

TU

RN

TO

TH

IS M

AR

RIA

GE

CE

RT

IFIC

AT

E M

US

T B

E F

OR

WA

RD

ED

TO

TH

E C

OU

NT

Y C

LE

RK

AN

D R

EC

OR

DE

R S

HO

WN

ON

TH

E T

OP

OF

TH

IS F

OR

M, B

Y T

HE

PE

RS

ON

OR

FA

ILU

RE

TO

DO

SO

SH

AL

L R

ES

UL

T IN

A L

AT

E F

EE

OF

NO

T L

ES

S T

HA

N 2

0

AS

SE

SS

ED

FO

R E

AC

H A

DD

ITIO

NA

L D

AY

OF

FA

ILU

RE

TO

CO

MP

LY

WIT

H T

HE

FO

RW

AR

DIN

G R

EQ

UIR

EM

EN

TS

OF

TH

IS S

UB

SE

CT

ION

(1) U

P T

O A

MA

XIM

UM

DE

TE

RM

ININ

G W

HE

TH

ER

A L

AT

E F

EE

SH

AL

L B

E A

SS

ES

SE

D P

UR

SU

AN

T T

O T

HIS

SU

BS

EC

TIO

N (1

), TH

E D

AT

E O

F F

OR

WA

RD

ING

SH

AL

L B

E D

EE

ME

D T

O B

EX

PIR

ES

: 10

/19

/2017

TH

IS

LIC

EN

SE

VA

LID

ON

LY

IN

CO

LO

RA

DO

35 D

AY

S F

RO

M D

AT

E O

F I

SS

UE

.

NO

TE

: TH

IS IS

A M

AR

RIA

GE

LIC

EN

SE

- NO

T A

MA

RR

IAG

E C

ER

TIF

ICA

TE

. IF IT

IS N

OT

US

ED

, TH

E P

ER

SO

N T

O W

HO

M IT

IS D

EL

IVE

RE

D M

US

T R

ET

UR

N IT

PR

OM

PT

LY

TO

TH

E C

OU

NT

Y C

LE

RK

AN

D R

EC

OR

DE

R W

HO

ISS

UE

D IT

.

To any person or religious society A

uthorized by Law to P

erform the Marriage C

eremony:

You are hereby authorized to join in marriage

and of this license you will make due return to my office. W

itness, my hand and the seal of my office at this 14 day of S

eptember

} ss.

s hereby certified that on the day ofat

in said county, the undersigned, did join in M

atrimony in accordance with the state of C

olorado and the authorization of the foregoing license

Witness, my hand the day and year last above written

Party

One

Party

Tw

o

63 D

AY

NO

TIC

E

TH

IS M

AR

RIA

GE

CE

RT

IFIC

AT

E M

US

T B

E F

OR

WA

RD

ED

TO

TH

E C

OU

NT

Y C

LE

RK

AN

D R

EC

OR

DE

R S

HO

WN

ON

TH

E T

OP

OF

TH

IS F

OR

M, B

Y T

HE

PE

RS

ON

OR

W

ITH

IN 6

3 D

AY

S O

F S

OL

EM

NIZ

AT

ION

.

FA

ILU

RE

TO

DO

SO

SH

AL

L R

ES

UL

T IN

A L

AT

E F

EE

OF

NO

T L

ES

S T

HA

N 2

0 (T

WE

NT

Y) D

OL

LA

RS

, PA

YA

BL

E B

Y T

HE

SO

LE

MN

IZIN

G P

ER

SO

N O

R P

AR

TY

AN

AD

DIT

ION

AL

FIV

EA

SS

ES

SE

D F

OR

EA

CH

AD

DIT

ION

AL

DA

Y O

F F

AIL

UR

E T

O C

OM

PL

Y W

ITH

TH

E F

OR

WA

RD

ING

RE

QU

IRE

ME

NT

S O

F T

HIS

SU

BS

EC

TIO

N (1

) UP

TO

A M

AX

IMU

MD

ET

ER

MIN

ING

WH

ET

HE

R A

LA

TE

FE

E S

HA

LL

BE

AS

SE

SS

ED

PU

RS

UA

NT

TO

TH

IS S

UB

SE

CT

ION

(1), T

HE

DA

TE

OF

FO

RW

AR

DIN

G S

HA

LL

BE

DE

EM

ED

TO

B

14-2

-109(1

)

FO

RM

M- 4

a, Appro

ved

by th

e Offic

e of th

e Sta

te Reg

istrar of V

ital S

tatistics, R

ev

Adams C

ounty

845532

TH

IS

LIC

EN

SE

VA

LID

ON

LY

IN

CO

LO

RA

DO

.

No

. __

__

__

__

__

__

__

NO

T A

MA

RR

IAG

E C

ER

TIF

ICA

TE

. IF IT

IS N

OT

US

ED

, TH

E P

ER

SO

N T

O W

HO

M IT

IS D

EL

IVE

RE

D M

US

T R

ET

UR

N IT

PR

OM

PT

LY

TO

TH

E C

OU

NT

Y C

LE

RK

AN

D R

EC

OR

DE

R W

HO

ISS

UE

D IT

.

To any person or religious society A

uthorized by Law to P

erform the Marriage C

eremony:

and

ake due return to my office. nd and the seal of my office at A

dams, Colorado,

September , 2017. Issued at 10:18, o’clock A

M C

ounty Clerk

Deputy C

lerk

day of

in said county, the undersigned, did join in Matrimony in accordance with the laws

state of Colorado and the authorization of the foregoing license

and

Witness, my hand the day and year last above written

Sig

natu

re of O

fficia

ting P

arty

Prin

t Title o

f Offic

iatin

g P

arty

Party

One S

ignatu

re

Party

Tw

o S

ignatu

re

TH

IS M

AR

RIA

GE

CE

RT

IFIC

AT

E M

US

T B

E F

OR

WA

RD

ED

TO

TH

E C

OU

NT

Y C

LE

RK

AN

D R

EC

OR

DE

R S

HO

WN

ON

TH

E T

OP

OF

TH

IS F

OR

M, B

Y T

HE

PE

RS

ON

OR

PA

RT

Y S

OL

EM

NIZ

ING

TH

E M

AR

RIA

GE

,

(TW

EN

TY

) DO

LL

AR

S, P

AY

AB

LE

BY

TH

E S

OL

EM

NIZ

ING

PE

RS

ON

OR

PA

RT

Y A

N A

DD

ITIO

NA

L F

IVE

-DO

LL

AR

LA

TE

FE

E M

AY

BE

A

SS

ES

SE

D F

OR

EA

CH

AD

DIT

ION

AL

DA

Y O

F F

AIL

UR

E T

O C

OM

PL

Y W

ITH

TH

E F

OR

WA

RD

ING

RE

QU

IRE

ME

NT

S O

F T

HIS

SU

BS

EC

TIO

N (1

) UP

TO

A M

AX

IMU

M O

F F

IFT

Y D

OL

LA

RS

FO

R P

UR

PO

SD

ET

ER

MIN

ING

WH

ET

HE

R A

LA

TE

FE

E S

HA

LL

BE

AS

SE

SS

ED

PU

RS

UA

NT

TO

TH

IS S

UB

SE

CT

ION

(1), T

HE

DA

TE

OF

FO

RW

AR

DIN

G S

HA

LL

BE

DE

EM

ED

TO

BE

TH

E D

AT

E O

F T

HE

PO

ST

MA

RK

. CR

S

4a, A

ppro

ved

by th

e Offic

e of th

e Sta

te Reg

istrar of V

ital S

tatistics, R

evised

07/2

014

T

o any person or religious society Authorized by L

aw to Perform the M

arriage Ceremony:

AM

. C

ounty Clerk

Deputy C

lerk

and

Sig

natu

re of O

fficia

ting P

arty

Prin

t Title o

f Offic

iatin

g P

arty

PA

RT

Y S

OL

EM

NIZ

ING

TH

E M

AR

RIA

GE

,

DO

LL

AR

LA

TE

FE

E M

AY

BE

O

F F

IFT

Y D

OL

LA

RS

FO

R P

UR

PO

SE

S O

F

E T

HE

DA

TE

OF

TH

E P

OS

TM

AR

K. C

RS

To complete the M

arriage or Civil U

nion Certifi

cate, fill

in the blanks with the follow

ing information:

*SIGN

ATURE N

OTE

Sign your name w

ith the name you intend to

use from the “p

oint of ceremony” forw

ard.

INFO

RM

ATION

GU

IDE

**

Ad

ams C

ounty Clerk &

Record

er 4430 S. A

dam

s County Pkw

y., Ste E2400 B

righton, CO

80601 720.523.6020 | w

ww

.adcog

ov.orgM

onday - Frid

ay8 a.m

. - 4 p.m.

Party OneBrighton, C

olorado 80601Party TwoD

enver, Colorado 80201

Example of H

ow to Fill out the M

arriage or Civil U

nion Certificate

This is an examp

le of how to fill out the M

arriage or C

ivil Union C

ertificate. The license and the certificate

are on the same d

ocument. D

o not separate them.

There are three categories of p

eople w

ho are authorized to sign the m

arriage or civil union certificate:

• A

civil officiant, such as a jud

ge or m

agistrate,

• A

n officiant w

ho has a religious ordination, such as a minister, p

astor, reverend, p

riest, rabbi, or m

onk.

• Yourselves. If your offi

ciant is not a judg

e/magistrate or d

oes not have a religious ordination, you m

ay sign the certificate as a self-solemnization.

County in w

hich you w

ere married

Date of

Cerem

onyM

onth of C

eremony

Year of C

eremony

Physical address of cerem

ony location

Signature of Offi

ciant. *If self-solem

nizing, both parties m

ust sign

Signature of Party One

Signature of Party Two

Signature of Party W

itness (optional)

Title of Offi

ciant *If self-solem

nizing, write

“ourselves”