Marriage License Application (Swahili Version) – Vermont

The Marriage License Application (form code DH-PHS-MARAPP-2023) is the Vermont Department of Health form on which two people applying for a civil marriage license give their identity, residence and parent details, confirm they are free to marry, and sign.

The PDF on this page is the Swahili edition: its title reads "Ombi la Leseni ya Ndoa ya Kiserikali ya Vermont" (Vermont civil marriage license application) and every line label is in Swahili. Lines 1 to 7 cover Mwombaji A (Applicant A) and lines 8 to 14 cover Mwombaji B (Applicant B). Each applicant selects one description: bride, groom or spouse.

A separate block of confidential information must also be completed. It asks how many marriages and civil unions each applicant has had, including this one, and how the last one ended. The form states that these answers will not appear on certified copies of the record.

The form also notes, citing 18 V.S.A. § 5131 (4)(A), that partners in a civil union certified in Vermont may choose to dissolve it after marrying but are not required to do so to establish a civil marriage. That choice is made in the confidential section of the license and takes effect after the marriage is solemnized.

A fee for the license is printed at the top of the form, and a certified copy of the Civil Marriage Certificate can be requested for a separate fee; amounts are on the form. The last line reads that the worksheet may be destroyed after the civil marriage is registered.

Two people who want a Vermont civil marriage license complete this application together; the form has one block for Applicant A and one for Applicant B. Each applicant picks one of three descriptions: bride, groom or spouse.

Both applicants sign the certification that the information is correct to the best of their knowledge and belief and that they are free to marry under Vermont law. Each also gives a phone number and an email address next to the signature.

• Partners in a civil union who are marrying each other mark the option that the civil union did not end and that they are marrying their civil union partner.
• People with an earlier marriage or civil union give the total number of marriages and civil unions, this one included, and how the last one ended: death, divorce, dissolution or the fourth printed option.
• Applicants with a legal guardian answer Yes to the question whether either applicant has one.

The form prints no exclusions and no rule for signing on behalf of another person, so both applicants complete and sign it themselves.

Complete this application when you are preparing to marry in Vermont, because it asks for the planned date of the marriage, the city or town where it will take place and the name and mailing address of the officiant. The form prints no filing deadline and no period for which the license stays valid, so confirm both with the Vermont Department of Health Vital Records or the clerk's office that issues your license.

The date of the last marriage or civil union ending (month and year, lines 23b and 26b) must be known before you fill in the confidential section. The form's final line says the worksheet may be destroyed after the civil marriage is registered.

The form names no submission channel: it prints no mailing address, portal or appointment rule. It does end with lines headed Date license issued and Clerk issuing license, which record the issuance of the license, and the Vermont Department of Health's vital records page says Town and City Clerks hold marriage and civil union certificates on file in their offices.

Before you deliver the completed application, ask the Department of Health Vital Records or a Town or City Clerk how and where to hand it in.

A fee for the marriage license is printed at the top of the form, and a separate fee applies if you request a certified copy of the Civil Marriage Certificate. Ask the agency for the current amounts and the accepted payment methods. FillingPDF lets you fill out and download the PDF; submission follows the agency's channels.