L.A. County Marriage License Application

23024 Crenshaw Blvd., Torrance, CA 90505

South of the 405 Fwy at the Crenshaw Exit. Six blocks South of Sepulveda Blvd. Please call 310/325-3930 for an appointment - you can also fax the application to 310/868-2794-FAX

This is an application for a marriage license only -- you must appear in person with identification to obtain the actual license. Marriage Licenses are issued, by appointment. All fields must be completed. Unknown or none are not permitted. The information provided should match your Birth Certificate for Parents names and birth places. Step Parents should not be used unless you have been adopted and your Birth Certificate has been amended. It is very important that the information is correct. Please call our office if you have any questions.

Groom's Personal Data

First Name of Groom:

Middle Name of Groom:

Last Name of Groom:

Groom's Date of Birth:

Groom's State (or Country if not USA) of Birth:

Number of Previous Marriages:

Last Marriage Ended by death, dissolution or annulment of Groom:

Groom's Date of Divorce/widow (mo/da/yr):

Groom's Usual Occupation:

Usual Kind of Business or Industry of Groom:

Groom's Education ~ Years Completed: High School=12 + years of college

Groom's Full Name of Father:

Groom's Father's State (or Country if not USA) of Birth:

Groom's Full Maiden Name of Mother:

Groom's Mother's State(or Country if not USA) of Birth:

Bride's Personal Data

First Name of Bride:

Middle Name of Bride:

Current Last Name of Bride:

Maiden Last Name of Bride:

Bride's Date of Birth:

Bride's State of Birth: (or Country if not USA)

Bride's Number of Previous Marriages:

Last Marriage Ended by death, dissolution or annulment of Bride:

Bride's Date of Divorce/Widow (mo/da/yr):

Bride's Usual Occupation:

Bride's Usual Kind of Business or Industry:

Bride's Education ~ Years Completed: Groom's Education ~ High School=12 + years of college

Full Name of Father of Bride:

Bride’s Father State(or Country if not USA) of Birth:

Bride's Full Maiden Name of Mother:

Bride’s Mother's State(Country if not USA) of Birth:

Residence of Groom and Bride

Email Address:

Residence Address:

Residence City/State/Zip/County:

Mailing Address:

Mailing City/State/Zip/County:

What is the date and time of your planned wedding?

Phone and Email for Bride & Groom:

Thank you for filling out the form in advance!

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Last updated on Jan 03, 2006