504 N Roxbury Dr., Beverly Hills CA 90210 |
(310) 285-5425
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Request for Sacramental Document
Use this form to request certificates of Baptism, Confirmation or Weddings.
Sacramental Document Requested:
Required*
Enter the type of Sacramental Document you are requesting. (Use a separate Form for each Request.)*
Baptism
Confirmation
Wedding
Other
If OTHER is selected, explain in the box below.
Other Sacramental Document Requested
Enter the type of document you are requesting - other than Baptism, Confirmation or Wedding.
Date Sacrament Completed
Enter the date, or approximate date, on which the sacrament was completed. *
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
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What is the name of the individual who received the sacrament?
First Name*
Middle Name
Last Name*
Enter the name of the individual who was Baptized or received Confirmation. Enter the name of the Groom for a wedding certificate.
Mother's Full Maiden Name or Bride's Full Maiden Name
First Name
Middle Name
Last Name
For Baptism/Confirmation Certificates: Enter the baptized/confirmed child's mother's full name. For Wedding Certificates: Enter the bride's full maiden name.
Name of Individual Requesting the Document
Title
First Name*
Middle Name
Last Name*
Relationship to individual on sacramental document
Required*
Select the option from the list below.*
Self
Mother
Father
Spouse
Other
If OTHER is selected, explain in the box below.
Other Relationship to individual on the sacramental document.
Enter your relationship to the individual for whom this sacramental document is being requested.
Mailing Address
Street 1*
Street 2
City*
State*
-- select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
None--International
Zip*
Enter the address where the document will be mailed.
Best Phone number for contacting the individual requesting the document.
Required*
-
-
ext
--select--
Home
Mobile
Work
Best time to call.
Include time zone if not on PST.*
01
02
03
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05
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09
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11
12
:
00
15
30
45
AM
PM
Best E-mail for contacting the individual requesting the document.
Required*
FOR OFFICE USE ONLY
This section will be completed by staff member completing the request.
Date of Request
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
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The requested document must be mailed within two business days of the Date of Request.
Staff Name
First Name
Last Name
Name of the staff who completed the request.
Date document dropped off at USPS Office
Month
January
February
March
April
May
June
July
August
September
October
November
December
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Day
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It may take a moment for your information to be submitted.