Maryland Circuit Court Clerk’s Office Use Only
Marriage License Number Local Number
STATE OF MARYLAND
MARRIAGE LICENSE APPLICATION
(For Use During COVID-19 Emergency Only)
Maryland county in which marriage ceremony is to take place: Date of ceremony, if known:
☐ County or ☐ Baltimore City
I/We apply for a marriage license under Maryland law, and state under oath:
Party 1:
First Name Middle Name Last Name Sr./Jr./etc.
Age State/Country of Birth Social Security No. - -
Residential Address: , ,
Street Number and Street Name City State and Zip Code
Current Marital Status:
☐ Single
☐ Widowed – Date(s) and State/Country of Spouse’s Death(s):
☐ Divorced – Date(s) and State/Country of Divorce Decree(s):
Method of Consent:
☐ Party 1 is 18 years of age or older
☐ Party 1 is under 18 years of age and consents to this marriage. This consenting person is
my (check one) ☐ Parent or ☐ Legal Guardian.
Party 2:
First Name Middle Name Last Name Sr./Jr./etc.
Age State/Country of Birth Social Security No. - -
Residential Address: , ,
Street Number and Street Name City State and Zip Code
Current Marital Status:
☐ Single
☐ Widowed – Date(s) and State/Country of Spouse’s Death(s):
☐ Divorced – Date(s) and State/Country of Divorce Decree(s):
Method of Consent:
☐ Party 2 is 18 years of age or older
☐ Party 2 is under 18 years of age and consents to this marriage. This consenting person is
my (check one) ☐ Parent or ☐ Legal Guardian.
Is Party 2 related to Party 1 by either blood or marriage? ☐ Yes ☐ No. If yes, what is the relationship?
(e.g., second cousins, aunt/nephew)
I/WE SOLEMNLY AFFIRM UNDER THE PENALTIES OF PERJURY AND UPON PERSONAL
KNOWLEDGE THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT.
(This may be signed by one or both parties.)
Signature of Party 1 Signature of Party 2
Phone and email: Phone and email:
Maryland Clerk’s Office Use Only
SWORN AND SUBSCRIBED (check one) ☐ in person ☐ by videoconference ☐ by affidavit
Date/Time: Printed Name: Signature:
COMPLETE FORM ONLINE AND PRINT OUT (OR PRINT LEGIBLY) - SEE INSTRUCTIONS
