Applicants' information:

• Full name (First, Middle and Last)
• Residence (City, county and state)
• Birthplace (State or foreign country)
• Date of birth
• Number of this marriage (1st, 2nd, etc)
• If previously married, how last marriage ended and when
• Social Security Number
• Specific hispanic origin (if any)
• Race
• Highest level of education completed

Applicants' parents information:

• Both fathers' full name (First, Middle and Last)
• Both mothers' full name (First, Middle and Maiden)
• All birthplaces (State or Foreign Country)

Other information:

• If either applicant is under eighteen (18), the name of parent or consenting guardian.
• Name and address of person performing ceremony, if known.
• Requested name change information, if applicable