THE CITY OF NEW YORK, OFFICE OF THE CITY CLERK
MARRIAGE LICENSE BUREAU
APPLICATION FOR THE CORRECTION
OF
A MARRIAGE RECORD
(Pursuant to § 14-a(5) of the Domestic Relations Law)
STATE OF NEW YORK)
CITY OF NEW YORK ) SS.: PRINT OR TYPE ALL INFORMATION CLEARLY
________________________________________ _________________________________________
Full name of Bride/Groom/Spouse A Full name of Bride/Groom/Spouse B
WE NOW LIVE AT _________________________________________________________________________________
House number and street address City State Zip Code
TELEPHONE #: (__________)__________________________________
We obtained a marriage license in the borough of
________________________________________and our ceremony was performed on
__________________________________
Date of ceremony
at: _____________________________________________________________________________________________________________________
Name and address where ceremony was performed
LIST BELOW THE INCORRECT INFORMATION THAT NOW APPEARS
ON YOUR MARRIAGE RECORD:
(1) ____________________________________________
(2) ____________________________________________
(3) ____________________________________________
(4) ____________________________________________
LIST BELOW THE CORRECT INFORMATION THAT SHOULD
APPEAR ON YOUR MARRIAGE RECORD:
(1) ____________________________________________
(2) ____________________________________________
(3) ____________________________________________
(4) ____________________________________________
WE BELIEVE THAT THE ERROR(S) WAS (WERE) MADE BECAUSE:
(1) ________________________________________________________________________________________________________________
(2) ________________________________________________________________________________________________________________
(3) ________________________________________________________________________________________________________________
(4) ________________________________________________________________________________________________________________
EXPLAIN IN DETAIL ALL FACTS; ATTACH ADDITIONAL PAGES AS NECESSARY
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________
WE SUBMIT THE FOLLOWING DOCUMENT(S) AS EVIDENCE IN SUPPORT OF OUR APPLICATION. NOTE: IF YOU ARE SUBMITTING YOUR
APPLICATION IN PERSON YOU MUST SUBMIT ORIGINAL OR CERTIFIED DOCUMENTARY EVIDENCE WITH THIS FORM. DOCUMENTS WILL
BE RETURNED TO YOU AFTER USE.
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
BEING SUBSCRIBED AND SEVERALLY SWORN TO ME
THIS __________ DAY OF ________________, 20 _________
_____________________________________________________
Notary Public or Commissioner Of Deeds
FOR MAIL APPLICATIONS ONLY
X ________________________________________________________
Signature of Bride/Groom/Spouse A
X ________________________________________________________
Signature of Bride/Groom/Spouse B
X ________________________________________________________
Signature of witnessing clerk
FOR OFFICE USE ONLY: _______________________________________________________________________________________________________
If you are applying by mail, please send copies of the original documents certified as true copies of the originals.
DO NOT SEND THE ACTUAL DOCUMENTS EXCEPT FOR THE ORIGINAL MARRIAGE CERTIFICATE.
FORM CC2008 4/6/2017
BOROUGH ________________
YEAR _____________________
CASE# ____________________
THE CITY OF NEW YORK
OFFICE OF THE CITY CLERK
141 WORTH STREET
N
EW YORK, NEW YORK 10013
MARRIAGE RECORD AMENDMENT INSTRUCTIONS
In order to amend your marriage record you or your spouse, as applicable, must complete the attached
form. It must be signed by both spouses and notarized (only if being requested by mail). The fee for an
amendment is $10.00 payable by money order to the Office of the City Clerk or credit card (in person
only). Personal checks will not be accepted.
You will receive no refund if your marriage amendment is denied. Processing a marriage amendment
can take up to two weeks if requested by mail.
Please submit the following document(s) as indicated:
1. _____ Original marriage certificate issued by the Office of the City Clerk
2. _____ Original or certified copy of your birth certificate
3. _____ Valid identification (valid driver’s license, learner’s permit or non-driver’s identification card
(all with photograph) issued by the department of motor vehicle (from the United States or any
of its territories); valid passport; NYC ID; active military identification card; valid United
States alien registration card; employment authorization card issued by the Bureau of
Immigration and Customs of the Department of Homeland Security; active military
identification)
4. _____ Certified copy of divorce decree
5. _____ Proof of address
6. ____ ____________________________________________________________________________
(Any document in a foreign language must be accompanied by an English translation, certified by a
competent translator.)
Amendment forms may be mailed or brought in person to:
Office of the City Clerk
141 Worth Street
New York, New York 10013
Attention: Amendment Department
If you are applying by mail, please send copies of the original documents certified as true copies of the
originals. Do not send the actual documents except for the original marriage certificate.
Manhattan office hours are 8:30 AM to 3:45 PM
Telephone number: 212-669-8190
Visit: www.cityclerk.nyc.gov
