Clark County Marriage License Application

Marriage License Application

Please fill out the following information as accurately as possible. Your application will remain in our system for one (1) year once submitted. Corrections can be made in person at the time you obtain your license; however, corrections made after your marriage ceremony will be approved on a case-by-case basis and may be subject to a fee.

Please fill in Party 1's information.

Your name must be exactly as it appears on the identification to be presented at time of issuance.

First Name

Middle Name

Last Name

Suffix

Gender

Current Residence City

Current Residence State/Country

State/Country of Birth

Date of Birth (MM/DD/YYYY)

Social Security Number (USA ONLY)

Marital Status

Number of this Marriage

Last Marriage End Date

Last Marriage End City

Last Marriage End State/Country

Parent 1 First Name

Parent 1 Middle Name

Parent 1 Last Name at Birth

Parent 1 State/Country of Birth

Parent 2 First Name

Parent 2 Middle Name

Parent 2 Last Name at Birth

Parent 2 State/Country of Birth

Please fill in Party 2's information.