MASS and CONFESSION Schedule
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Request for Sacramental Documents

Baptism, Confirmation and Wedding Certificates

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. * //

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.*

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*

Zip*

Enter the address where the document will be mailed.

Best Phone number for contacting the individual requesting the document.

Required* -- ext

Best time to call.

Include time zone if not on PST.* :

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

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

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