Clark County Clerk’s Office Box 551604 Las Vegas, NV 89155-1604 Rev 06/12/2018

Office of the Clark

County Clerk

Lynn Marie Goya County Clerk

Jim Pierce Assistant County Clerk

Note: All requests for the Marriage License/Affidavit (application to get married) containing the couple’s social security numbers require a notarized statement from either party on the marriage license authorizing this office to provide a copy. Licenses/Affidavits issued prior to 1998 may not include the social security number.

STATE OF ___________________________ SS:

COUNTY OF _________________________

I, ________________________________________________, authorize the Clark County Clerk’s Office to provide an unredacted certified copy of my Marriage License/Affidavit containing the social security numbers.

Marriage License/Affidavit # (if known): _____________________________________________

Date Issued (to the best of your knowledge): _________________________________________

Party 1’s Full Name: _____________________________________________________________

Party 2’s Full Name: _____________________________________________________________

____________________________________________Signature of Applicant

Signed and sworn to (or affirmed) before me on this

_______ day of ______________________, 20_____,

by _________________________________________. (Printed name of individual whose signature is being notarized)

____________________________________________Signature of Notarial Officer

Name of Bride or First Party (as stated on the marriage license) First, Middle, Last

Name of Groom or Second Party (as stated on the marriage license) First, Middle, Last

Marriage Certificate #: (if known) Date of Marriage E-mail Address/Phone Number: (for questions about your order)

$15

Marriage Document Order # of Copies Total $

Certified Marriage Certificate $15 ea

Marriage Abstract $15 ea

Certified Marriage License $6.50 ea

$ Total

Mail Documents to:

Name:

Address:

City/State:

Country and Postal Code:

Obtaining a certified copy of your marriage certificate is easy!

Clark County Clerk’s Office

Lynn Marie Goya, Clark County Clerk

ORDER PROOF OF MARRIAGE

Marriage Certificates ORDER ONLINE!

To confirm that your marriage certificate has been filed

within the 10 days required by state law, you may search online at MLIC.Vegas

ORDER BY MAIL! PLEASE PRINT

PICK-UP IN PERSON! You may purchase in person or use one of our self-service kiosks to pay with credit or debit card:

Marriage License Bureau Clerk’s Office Commission Division Northwest Office

201 E. Clark Avenue 500 S. Grand Central Pkwy 1st Floor 3211 N. Tenaya Way Ste. 118

Las Vegas, NV 89101 Las Vegas, NV 89106 Las Vegas, NV 89129

7 days a week, 8 a.m. - midnight Mon. - Fri. 8 a.m. - 5 p.m. Mon. - Thurs. 8 a.m. - 5 p.m.

Including holidays In person using cash, debit or credit card Closed: Noon - 12:30 daily

Fri, Sat. and Sun.

Certified Marriage Certificate A certified copy of a marriage certificate is your legal proof of marriage. This certificate is required by most

federal and state agencies, Social Security Admin, DMV, banking, insurance, passport, immigration naturalization service. Marriage Certificates

are available for all marriages performed from 1909 to present.

Marriage Abstract A Marriage Abstract is a certified document that contains some of the information from the original certificate and may be

used for some U.S. agencies and some foreign countries.

Certified Marriage License If required, a certified copy of your marriage license can be obtained. Older versions of marriage certificates did

not have date of birth and the license will have this info on it.

Apostilles are required by some countries to recognize the marriage. Please contact the Nevada Secretary of State at www.nvsos.gov/sos/

businesses/apostille

Payment NO PERSONAL CHECKS ACCEPTED. BY MAIL: Money order or cashier’s check in U.S. dollars from a U.S. bank. ONLINE: Credit card

(Visa, MasterCard or Discover). IN PERSON: Cash, cashier’s check, money order or credit card. Please allow up to 10 business days to receive

your online order and up to 3 weeks to receive your mail-in request. International orders may take longer. 072017

Mail this form to: Clark County Clerk, Box 551604, Las Vegas, NV 89155-1604