Version 12/2020
Alaska MARRIAGE Certificate Request Form Instructions
Who may obtain a marriage certificate?
Either bride, groom, or spouse
Accepted forms of ID (If expired, must be less than year):
Driver's license
State-issued ID
Passport
Military ID
Tribal/BIA card (with picture)
If you have none of the above forms of ID, please contact (907) 465-3391 for assistance.
How to submit a request:
Complete this form, include payment and a copy of your ID.
For walk in service, choose one of the following sites: Anchorage or Juneau. Address and contact information is
below.
For mail, fax, email or online orders: choose one method of submission. Please be advised that if you submit
your requests via more than one method, you will be charged for each request.
For all current fees and processing times please visit our website: www.vitalrecords.alaska.gov
Please note:
Faxed orders*: please call 10 minutes after sending your fax to confirm receipt.
Expedited requests must be email or faxed.
For additional information on how to amend a marriage certificate, please contact our Special Services Unit
at (907) 465-1200.
Alaska Vital Records Offices:
Juneau (Main Office) Anchorage Office Mail, Fax, E-mail, and Online Orders
Monday - Friday, 8:00 am - 4:30 pm
Phone: (907) 269-0991
Note: Please mail requests to the
Juneau Office.
Walk-in Office Hours:
Monday - Friday, 8:00 am - 5:00 pm
Physical Address:
5441 Commercial Blvd.
Juneau, Alaska 99801
Phone: (907) 465-3391
Fax: (907) 465-3618
* Please do not send mail to the
physical address.
Please send to HAVRS mailing
address:
P.O. Box 110675
Juneau, AK 99811-0675
HAVRS Mailing Address:
P.O. Box 110675
Juneau, AK 99811-0675
E-mail Orders: hss.vr.apps@alaska.gov
Fax: (907) 465-3618
Online: Vital Check
https://www.vitalchek.com/
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Version 12/2020
Alaska MARRIAGE Certificate Request Form
Please read the instructions on the first page. Incomplete or inaccurate requests that do not include a copy of a government issued ID will not be
processed.
Submit this form WITH PAYMENT in person (Cash, check, money order or credit card), by mail (check, money order, or credit card), or by fax (credit
card only). Office locations and contact information are on the instruction page.
Please make Checks/Money Orders payable to: ALASKA VITAL RECORDS OFFICE.
There will be a $30 nonsufficient funds fee for returned checks.
Information needed to locate the record:
Date of Marriage_________________________________
City/village of Marriage
_____________________________
FIRST, MIDDLE, LAST name of Bride, Groom or Spouse
FIRST, MIDDLE, LAST name (Maiden Name) of Bride or Spouse
APPLICANT NAME_____________________________________________
Contact Phone Number ________________________________________
Contact E-mail Address_________________________________________
Mailing Name ________________________________________________
Mailing Address:
Street/P.O. Box _______________________________________________
City, State, Zip_________________________________________________
Relation to the person of the record
__Bride __Groom __ Spouse
__ Legal Representative (with documentation)
Purpose of Request:
(Ex: Personal records, legal purposes, government benefits, etc)
Signature of Person Requesting the Record (Electronic/Typed Signature NOT
Accepted)
What would you like to order?
Fee:
_____ Number of Certified Marriage Certificates
_____
($30 for one copy plus $25 for each additional copy of the same record ordered at the same time)
_______
_____ _______
Marriage Certificate Correction Processing Fee ($30)
Apostille Fee ($12 for first copy, $2 for each additional copy)
_____
___________________________________________
_______
Apostille Country:
Number of Heirloom Certificates ($65 for f
irst copy, $60 for additional copies)
Choose one:
___
Rie Munoz (“Tenakee Wedding”)
___ D
ale DeArmound (“Raven In Love”)
B___
yron Birdsall (“McKinley Moonlight”
____ Expedited/Rush Service
(Fax/Email orders) ($11)
_ * _______
Please note: If marriage is not registered, it cannot be rushed
How would you like it shipped?
Please note: Alaska Vital Records assumes no responsibility for items after they have been shipped. If documents are lost or
stolen you will need to resubmit your order with ID and payment. Vital Record certificates are legal documents that should
be in your control only. Lost certificates may end up in the hands of criminals who could use the certificate to steal your
identity. HAVRS strongly recommends you choose a method of shipping that requires a signature upon receipt. Call
907-465-3391 for more information on International Shipping.
Choose one:
_____ Regular Mail (No fee, NO tracking available!)
_____ Priority Mail ($9.00. Includes tracking. No signature required).
_____ Priority Mail ($12.00. Includes tracking and signature).
_____ FedEx Alaska (No P.O. Boxes; $25.00. Includes tracking and signature).
Do you want a signature?
Yes
No
_____ FedEx USA (No P.O. Boxes; $30.00. Includes tracking and signature).
Do you want a signature?
Yes
No
Total for all Items
Credit Card Information
We accept: Visa, MasterCard, Discover, and American Express
Name on Credit Card
________________________________
Credit Card Number
_________________________________
Expiration date __________________________________
Zip Code
______________________________________
Cardholder Signature (REQUIRED; ELECTRONIC/TYPED SIGNATURE NOT
ACCEPTED) _________________________________________________
Click to Clear Form______
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