The Vermont marriage license application, form DH-PHS-MARAPP-2023, is the form on which two applicants give the details needed for a Vermont civil marriage license. The Vermont Department of Health publishes this PDF in French, under the title Demande de licence de mariage civil dans le Vermont. It collects each applicant's identity, residence and parents, a confidential section on prior marriages and civil unions, both signatures and the wedding details. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original PDF is published by the Vermont Department of Health.
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What is DH-PHS-MARAPP-2023?
The Marriage License Application (form DH-PHS-MARAPP-2023) is the Vermont Department of Health form on which two applicants provide the information needed for a Vermont civil marriage license.
The text printed on this PDF is in French, and its title reads Demande de licence de mariage civil dans le Vermont. It is headed by the Département de la Santé du Vermont and prints a fee for the civil marriage license.
The form is organized in blocks:
- Applicant A (lines 1 to 7) and Applicant B (lines 8 to 14): legal name, name at birth, sex, date and place of birth, residence, and the names and birthplaces of both parents.
- A confidential section (lines 22 to 26) with the number of prior marriages and civil unions, how the last one ended and its date. The form states this information does not appear on certified copies of the record.
- A question on whether either applicant has a legal guardian.
- A certification and signature block (lines 15 and 16), with phone numbers and e-mail addresses.
- The planned date and place of the marriage, the officiant, the mailing address after the marriage and an optional certified copy of the marriage certificate.
- A closing block for the date the license is issued and the clerk issuing it.
The form also quotes 18 V.S.A. § 5131 (4)(A) on civil unions. The document is a worksheet: it states it may be destroyed after the civil marriage is recorded.
Who needs to file DH-PHS-MARAPP-2023?
Two people who intend to marry in Vermont and are applying for a civil marriage license complete this application together. Each one is identified on the form as Applicant A or Applicant B and checks one box describing their role, printed as MARIÉE, MARIÉ or CONJOINT(E) (bride, groom or spouse).
Both applicants sign. By signing, they certify that the information is accurate to the best of their knowledge and in good faith, and that they are free to marry under Vermont law.
Other groups the form speaks to:
- Applicants with a prior marriage or civil union complete the confidential lines on the number of unions, how the last one ended and its date.
- Applicants who are partners in a civil union certified in Vermont may use the option, described in the form's quotation of 18 V.S.A. § 5131 (4)(A), to dissolve the civil union by marrying each other. The statute says they are not required to do so to form a civil marriage.
- Either applicant who has a legal guardian answers OUI (yes) to the guardian question.
The form prints no residency requirement, and residents of other states or countries have their own address lines (5c, 5d, 12c and 12d).
When to file DH-PHS-MARAPP-2023
Complete this application when you are applying for a Vermont civil marriage license, before the marriage takes place: the form asks for the planned date of the marriage and the town or village where it will be held. No filing deadline, waiting period or validity period is printed on the form, so ask the issuing clerk about timing.
The form also asks, at the same time, whether you want a certified copy of your civil marriage certificate, so decide that before you hand the application in. After the marriage, the Vermont Department of Health page on vital records explains how certified and noncertified copies of marriage certificates are ordered. The worksheet itself may be destroyed once the civil marriage is recorded.
How to fill out DH-PHS-MARAPP-2023
Check each applicant's role
At the top of the Applicant A block and the Applicant B block, check one box for each person: MARIÉE, MARIÉ or CONJOINT(E).
Enter legal names and birth names
Lines 1a and 8a: legal name (first, middle, last). Lines 1b and 8b: surname at birth (maiden name).
Enter sex, birth date and birthplace
Lines 2 and 9: sex. Lines 3 and 10: date of birth (month, day, year). Lines 4 and 11: place of birth, as a state or foreign country.
Enter residence addresses
Lines 5a to 5d for Applicant A and 12a to 12d for Applicant B: street address, city or village, state and country of residence.
Enter each applicant's parents
Lines 6a, 7a, 13a and 14a: first, middle and birth surname of the father or parent and of the mother or parent. Lines 6b, 7b, 13b and 14b: each parent's place of birth (state or foreign country).
Complete the confidential section
Lines 22 and 25: total marriages and civil unions, including this one. Lines 23a and 26a: check how the last one ended (death, divorce, dissolution, annulment, or civil union not ended; marriage to a civil union partner). Lines 23b and 26b: month and year.
Answer the legal guardian question
Check OUI or NON to say whether either applicant has a legal guardian.
Sign and date as both applicants
Applicant A signs and dates lines 15a and 15b, Applicant B lines 16a and 16b. Add phone numbers and e-mail addresses on lines 15c, 15d, 16c and 16d.
Add the wedding details
Enter the planned date of the marriage, the town or village where it will be held, the officiant's name and mailing address, and your mailing address after the marriage.
Choose a certified copy
Check Oui or Non to say whether you want a certified copy of your civil marriage certificate. Leave the issuing date and clerk lines for the issuing clerk.
Review and download the completed PDF
Check that every applicable line is complete and both signatures are present. Download or print the completed PDF from FillingPDF and deliver it as described under How to submit.
How to submit DH-PHS-MARAPP-2023
The form prints no mailing address, portal or appointment rule for the application, so confirm the channel with the clerk who will issue your license or with the Vermont Department of Health, Vital Records. The last block of the form has lines for Date de délivrance de la licence (date the license is issued) and Greffier délivrant la licence (the clerk issuing the license), which are completed on the issuing side.
- Fees: the form prints a fee for the civil marriage license and a separate fee for the optional certified copy of the marriage certificate. The amounts are on the form; the form does not state a payment method.
- Copies after the marriage: the Department of Health page says certified and noncertified copies can be requested from your Town or City Clerk, ordered online with a credit card (an online processing fee applies), or ordered by mail by following the instructions on the application you choose.
FillingPDF lets you fill out and download the PDF; submission follows the channels of the issuing clerk and the Department of Health.
Common mistakes to avoid
- Leaving the confidential section (lines 22 to 26) blank: the form says this information must be completed, even though it does not appear on certified copies.
- Submitting the form with only one applicant's signature; the certification is signed by Applicant A (line 15a) and Applicant B (line 16a).
- Not checking the box (MARIÉE, MARIÉ or CONJOINT(E)) that states each applicant's role at the top of the Applicant A and Applicant B blocks.
- Writing a city instead of the state or foreign country on the place-of-birth lines (4, 6b, 7b, 11, 13b, 14b), which ask for a state or foreign country.
- Entering a married name on line 1b or 8b, which ask for the surname at birth (maiden name), not the current legal name.
- Skipping the line on how the last marriage or civil union ended (23a or 26a) and its date (23b or 26b) when either applicant has a prior union.
- Leaving the guardian question, the officiant's name and mailing address, or the Oui/Non box for a certified copy unanswered.
- Filling in the date of issue and the issuing clerk at the bottom of the form, which are for the clerk who issues the license.
Frequently asked questions
What is the Vermont marriage license application?
It is form DH-PHS-MARAPP-2023 from the Vermont Department of Health, on which two applicants give their identity, residence, parents and prior-union history to apply for a Vermont civil marriage license. The PDF is printed in French as Demande de licence de mariage civil dans le Vermont.
Is this marriage license application in French?
Yes. The PDF published by the Vermont Department of Health at the official link is printed in French, including its labels such as NOM LÉGAL and DATE DE NAISSANCE. This page describes each line in English so you can follow it.
Do both people have to sign the marriage license application?
Yes. The certification near the end is signed by Applicant A on line 15a and Applicant B on line 16a, each with a date. By signing, you certify that the information is accurate and that you are free to marry under Vermont law.
What is the confidential section of the application?
Lines 22 to 26 ask how many marriages and civil unions each applicant has had, how the last one ended and when. The form says this information must be completed but does not appear on certified copies of the record.
Is there a fee for the Vermont marriage license?
Yes. The form prints a fee for the civil marriage license and a separate fee for an optional certified copy of the marriage certificate. Check the amounts on the form itself; it does not name a payment method, so confirm it with the issuing clerk.
Can civil union partners marry each other in Vermont?
Yes. The form quotes 18 V.S.A. § 5131 (4)(A): parties to a civil union certified in Vermont may dissolve it by marrying each other but are not required to. The option appears in the confidential section and takes effect when the marriage is solemnized.
How do I get a copy of my Vermont marriage certificate afterward?
Ask your Town or City Clerk, which the Department of Health calls the fastest and cheapest way, order certified copies online with a credit card (an online processing fee applies), or order by mail using the application you choose.
Can I fill out the Vermont marriage license application online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service that does not file the application or issue the license; delivery follows the channels of the issuing clerk and the Vermont Department of Health.
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