Yakima County Marriage License Form
Applicant A Information
1. Name: (First, Middle, Last)
2. Birth Last Name
3. Gender
4. Domestic Partnership #
M
F
U
5. Date of Birth
6. Birth City
7. Birth State (If Not USA Give Country)
8. Present Street Address (Number and Street)
9. City/Town/Location
10. State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside the U.S.
11. County
12. Inside City Limits
13. Address Past 6 Months (If Same, Leave Blank)
Yes
No
14. Marital Status
15. Occupation
Single
Divorced
Widowed
16. Father's Name (First/Last)
17. Birth State (If Not USA Give Country)
18. Mother's Maiden Name (First/Last)
19. Birth State (If Not USA Give Country)
Applicant B Information
1. Name: (First, Middle, Last)
2. Birth Last Name
3. Gender
4. Domestic Partnership #
M
F
U
5. Date of Birth
6. Birth City
7. Birth State (If Not USA Give Country)
8. Present Street Address (Number and Street)
9. City/Town/Location
10. State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Outside of the U.S.
11. County
12. Inside City Limits
13. Address Past 6 Months (If Same, Leave Blank)
Yes
No
14. Marital Status
15. Occupation
Single
Divorced
Widowed
16. Father's Name (First/Last)
17. Birth State (If Not USA Give Country)
18. Mother's Maiden Name (First/Last)
19. Birth State (If Not USA Give Country)