Facebook YouTube

Certificate Request Form

- BAPTISMAL CERTIFICATE (official sacrament record) REQUEST
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Please note: This request is for an official Baptism certificate with notations of other Sacraments. It is different from the ceremonial certificate given to families as keepsakes at the time of Baptism.
  
  Name of Person Requesting Certificate: Please enter valid data.
  
  First Name of the Baptized Person: REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name (maiden name if female) of the Baptized Person: REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mailing Address 1 REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Birth Date of the Baptized Person: REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth of the Baptized Person: REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism of the Baptized Person: If specific date is unknown please select the estimated month or year. Please enter a date.
  
  Father's First and Last Name & Mother's First and Maiden Name: REQUIRED Please fill out this field. Please enter valid data.
  
  How would you like to receive the certificate? REQUIRED Please e-mail the certificate to the e-mail above. Mail to the USPS mailing address above. Please fill out this field.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- *Baptismal Certificate Requests take 2 WEEKS to complete.

Certificate Request Form

*Baptismal Certificate Requests take 2 WEEKS to complete.

**Baptismal Certificate Requests take 2 WEEKS to complete.*