SACRAMENTAL RECORDS RELEASE REQUEST
ARCHDIOCESE OF MIAMI
- Confirmation Certificate -
The Confirmation certificate will be sent only by mail; not by e-mail, fax, etc. Please allow two
months for a reply.
Before completing this form, please read carefully the Archdiocesan policy on sacramental
records (cf. www.miamiarch.org/vgchancellor). Please print clearly.
Full name at the time of Confirmation: _________________________________________
Father’s full name: ________________________________
Mother’s maiden name: ________________________________
Name of Sponsor: _________________________________
Name of Parish (or Mission) where Confirmation took place:
_____________________________________________________________
City in which parish/mission is located: ________________________________
Date of Confirmation: _________________________ (circle one: exact / approximate)
(e.g., January 1, 1989)
Name of the Minister of Confirmation: ________________________________________
Name of person requesting certificate: ___________________________________
Street address: ______________________________________
City, State, Postal code: _________________________________
Country: _________________________________
Daytime phone number: _____________________________
I have read the policy of the Archdiocese of Miami on sacramental records and I attest that I am
requesting my own certificate, that of my minor child or another for whom I am legal guardian.
This request is not made for genealogical purposes.
Signature: _____________________________________ Date: _______________
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Please mail this request to:
Archdiocese of Miami
Office of the Chancellor
9401 Biscayne Boulevard
Miami Shores, Florida 33138
Print Form
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signature
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