Record Request

Thank you for your request. Please complete the form below as accurately as possible. Requests are processed during normal parish office hours. Record searches may take up to two weeks depending on the age of the record and available information.

Requester Information

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Relationship to the Person Named on Record *

Record Being Requested

Type of Record Requested *

Church Where Sacrament Took Place *

Full Name at Time of Sacrament *

First

Last

Current Name (if different) *

First

Last

Date of Birth (mm/dd/yyyy) *

Date of Sacrament (mm/dd/yyyy) *

Additional Information

Father's Full Name *

First

Last

Mother's Full Name (Maiden) *

First

Last

Spouse's Name (for marriage records) *

First

Last

Purpose of Request

Why are you requesting this record? *

How would you like to receive the record? *

If sending to another parish: *

Line 1

Line 2

City

State

Zip Code

Country

I understand that sacramental records are confidential church records. The parish may require verification of identity and may only release records in accordance with Church policy.

Acknowledgement *

I acknowledge and agree

Submit

Records Request

A COMMUNITY OF CHRIST'S FOLLOWERS.