Marriage Certificate Order Form

To order a marriage certificate:

Please use the application below to order a marriage certificate from the Department of Health for marriages that occurred January 1, 2011 or LATER. For marriages that occurred BEFORE January 1, 2011, please click on the following link to the be transferred to and place your certificate order with the Vermont State Archives and Records Administration (VSARA)
Vermont Department of Health logo


Application for a Certified Copy of a Marriage Certificate

For office use only


Number of Copies:
Amount Enclosed $

(Please check one)

(Please check one)

Intended use of certificate

Date: _____________________________

Signature: _____________________________________________________________________

Send to: Vermont Department of Health, Vital Records, PO Box 70, Burlington, VT 05402-0070 with check or money order payable to Vermont Department of Health.