Application for a Temporary Marriage Commissioner …

1 DVS3246 Rev. 2019-12 Page 1 of 2 Application for a Temporary Marriage Commissioner AppointmentThis information is collected in accordance with the Marriage Act. It is required to determine eligibility for your Application as a Temporary Marriage Commissioner . Collection is authorized under s. 33(a) and (c) of the Freedom of Information and Protection of Privacy Act. Questions about the collection can be directed to Vital Statistics at or 780-427-7013 (toll free 310-0000 within Alberta).Eligibility: The applicant must be 18 years of age or older. The applicant must be a Canadian Marriage commissioners are not permitted to: Perform a Marriage without first receiving a valid Marriage licence from the couple. Conduct a religious ceremony. Only non-religious ceremonies are permitted. Charge a fee to perform the Marriage . Represent themselves as permanent Marriage commissioners or solicit business of this 's InformationFull NameEmail AddressMailing AddressCity or TownProvincePostal CodeTelephone NumberAlternate Telephone Number, AlbertaMarriage InformationDate of Intended Marriage yyyy-mm-ddName of Venue / Address Where Ceremony will be HeldPlace of Marriage (City/Town/Village/Hamlet)Couple's InformationFull Name of Spouse 1 Email AddressMailing AddressCity or TownProvincePostal CodeTelephone NumberAlternate Telephone NumberFull Name of Spouse 2 Email AddressMailing AddressCity or TownProvincePostal CodeTelephone NumberAlternate Telephone NumberDate yyyy-mm-ddSignature of Spouse 1 Signature of Spouse 2 DVS3246 Rev.

2 2019-12 Page 2 of 2 FOR OFFICE USE ONLYM/O NumberVS Registration Number (if any)Date Approved yyyy-mm-ddDate Certificate/Package Emailed yyyy-mm-ddInitialsTerms and Conditions of appointment I confirm that I am an adult permanent resident of Canada and the above information is correct. I agree to review and follow all policies and procedures provided to me by Vital Statistics if appointed. I agree and understand that I must submit all required documentation to register the Marriage upon completion of the civil yyyy-mm-ddSignature of ApplicantReturn your fully completed Application to Vital Statistics by email to or mail to Vital Statistics, PO Box 2023, Edmonton, AB T5J you allow ample time to process your Application . Vital statistics will contact you by email to inform you of the outcome of your Application . If your appointment is granted, a Temporary Marriage Commissioner appointment Certificate and an instruction package will be sent to you by email.