{
  "urn": "urn:us-la:rs:9:223",
  "title_number": "9",
  "section_number": "223",
  "citation": "R.S. 9:223",
  "heading": "Form",
  "text": "A. An application for a marriage license shall be made on a form provided by Subsection B of this Section.\n\nB. The application form shall be as follows:\n\nApplication for Marriage\n\n__________________(Parish), State of Louisiana\n\nDate of Application:\n\nHour of Application:\n\nGROOM\n\nLast Name of Groom\n\nFirst Name of Groom\n\nMiddle/Second Name of Groom\n\nAddress\n\nIs residence inside city limits?\n\n☐ Yes ☐ No\n\nParish/County\n\nState\n\nRace\n\nDate of Birth (month-day-year)\n\nState of Birth\n\nFather's Name\n\nState of Birth\n\nMother's Maiden Name\n\nState of Birth\n\nBRIDE\n\nLast Name of Bride\n\nFirst Name of Bride\n\nMiddle/Second Name of Bride\n\nMaiden Name of Bride\n\nAddress\n\nIs residence inside city limits?\n\n☐ Yes ☐ No\n\nParish/County\n\nState\n\nRace\n\nDate of Birth (month-day-year)\n\nState of Birth\n\nFather's Name\n\nState of Birth\n\nMother's Maiden Name\n\nState of Birth\n\nCovenant Marriage\n\nCovenant Marriage☐ Yes☐ NoIf yes, complete the following:\n\nWe, ___________________________ and _____________________________\n\ndo hereby declare our intent to contract a Covenant Marriage and, accordingly, have executed a declaration of intent attached hereto.\n\nGroom\n\nHas the groom been formerly married?_________\n\nHow many times?________\n\nAre you divorced ________?\n\nBride\n\nHas the bride been formerly married?_________\n\nHow many times?________\n\nAre you divorced ________?\n\nSSN\n\nGrooms's Social Security Number\n\nBride's Social Security Number\n\nI ___________________________ (print name of groom) do swear or affirm that the information contained in this application for marriage is true and correct. I further swear or affirm that this is my ______ (1 st , 2 nd , etc. number) marriage but that I am not currently married to anyone else, and that I am free to marry under the laws of the state of Louisiana. I further understand and acknowledge that giving any false information or false statement in this application of marriage shall constitute the crime of filing a false public record in violation of the Louisiana Criminal Code (R.S. 14:133).\n\n____________________________\n\nSignature of Groom\n\nSworn to and subscribed before me this ________ day of __________________, 20___.\n\n___________________ Notary Public/Deputy Clerk/Deputy Registrar\n\nI ___________________________ (print name of bride) do swear or affirm that the information contained in this application for marriage is true and correct. I further swear or affirm that this is my ______ (1 st , 2 nd , etc. number) marriage but that I am not currently married to anyone else, and that I am free to marry under the laws of the state of Louisiana. I further understand and acknowledge that giving any false information or false statement in this application of marriage shall constitute the crime of filing a false public record in violation of the Louisiana Criminal Code (R.S. 14:133).\n\n____________________________\n\nSignature of Bride\n\nSworn to and subscribed before me this ________ day of __________________, 20___.\n\n___________________ Notary Public/Deputy Clerk/Deputy Registrar",
  "status": "active",
  "hierarchy_path": [
    {
      "level": "title",
      "number": "9",
      "name": "CIVIL CODE--ANCILLARIES"
    },
    {
      "level": "code_preliminary_title",
      "number": "1",
      "name": "[BLANK]"
    },
    {
      "level": "code_book",
      "number": "I",
      "name": "OF PERSONS"
    },
    {
      "level": "code_title",
      "number": "IV",
      "name": "HUSBAND AND WIFE"
    },
    {
      "level": "chapter",
      "number": "1",
      "name": "MARRIAGE: GENERAL PRINCIPLES"
    },
    {
      "level": "part",
      "number": "III",
      "name": "APPLICATION FOR MARRIAGE LICENSE"
    },
    {
      "level": "subpart",
      "number": "A",
      "name": "IN GENERAL"
    }
  ],
  "breadcrumb": "Title 9 › Code Preliminary Title › Code Book I › Code Title IV › Chapter 1 › Part III › Subpart A",
  "acts_citations": [
    {
      "act_year": 1987,
      "act_number": 886,
      "section": 3,
      "effective_date": "1988-01-01",
      "effective_date_raw": "Jan. 1, 1988",
      "role": "enactment"
    },
    {
      "act_year": 2015,
      "act_number": 436,
      "section": 1,
      "effective_date": "2016-01-01",
      "effective_date_raw": "Jan. 1, 2016",
      "role": "amendment"
    }
  ],
  "acts_citations_raw": "Acts 1987, No. 886, §3, eff. Jan. 1, 1988; Acts 2015, No. 436, §1, eff. Jan. 1, 2016.",
  "source_url": "https://legis.la.gov/legis/Law.aspx?d=106994",
  "website_law_id": 106994,
  "scrape_timestamp": "2026-05-22T23:55:18Z",
  "source_html_hash": "sha256:c5a14123058d99fb691e0e99af1fc35d653e2893aae7dad4bc94946a485327c5",
  "schema_version": "1.0.0"
}