Marriage Application

This document is a marriage, remarriage, civil union, or reaffirmation of civil union license application form (REG-77) for the New Jersey Department of Health. It requires applicants to provide personal information such as names, addresses, dates of birth, domestic status, and parents' information. It also requires the name and address of a witness. The form includes an oath affirming the truthfulness of the provided information, and perjury carries a maximum fine of $7,500.00.