Secretary of State - Domestic Partnership

CERTIFICATE REQUESTS

Certificates of Domestic Partnership are now routinely mailed to all new registrants.
If you did not receive your certificate, or if you would like to order a certificate, please fill out and submit the form below.
The form below will send your message to our Domestic Partnership staff.

First Name:
Last Name:

E-Mail Address:

Area Code and Phone Number:

Names of Both Partners:

1.
2.

Approximate Date of Filing:
File Number (if available):

Address Where Certificate Should Be Sent:

Street Address/Post Office Box:

City: State: Zip:

Subject of This Request: