Roman Catholic 
Diocese of Ogdensburg

Application for Matrimonial Dispensation and Permission

- (*) indicates a response is necessary in this field.

 

Today's Date:
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Submitted by:(*)
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Your Email:(*)
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Parish:(*)
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City:(*)
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GROOM
First Name:(*)
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Middle Name:
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Last Name:(*)
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Street Address:(*)
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City:(*)
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State:(*)
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Zip Code:(*)
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Date of Birth
     
Month(*)
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Day(*)
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Year(*)
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Religion:(*)
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Baptismal Status:(*)
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Record of Baptism for non-Catholic must state Trinitarian nature (Father, Son and Holy Spirit).

     
Date of Baptism
     
Month
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Day
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Year
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Place of Baptism:
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Please enter the church or parish where the Baptism took place.

Parish of Record is optional. If you are aware the parish of Baptism has closed or merged, please provide the parish name and address holding the Baptismal records. The information may be used to notify the parish holding the Baptismal records.

Parish of Record:
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Street Address:
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City:
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State:
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Zip Code:
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BRIDE
First Name:(*)
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Middle Name:
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Last Name:(*)
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Street Address:(*)
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City:(*)
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State:(*)
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Zip Code:(*)
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Date of Birth
     
Month(*)
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Day(*)
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Year(*)
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Religion:(*)
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Baptismal Status:(*)
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Record of Baptism for non-Catholic must state Trinitarian nature (Father, Son and Holy Spirit).

     
Date of Baptism
     
Month
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Day
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Year
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Place of Baptism:
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Please enter the church or parish where the Baptism took place.

Parish of Record is optional. If you are aware the parish of Baptism has closed or merged, please provide the parish name and address holding the Baptismal records. The information may be used to notify the parish holding the Baptismal records.

Parish of Record:
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Street Address:
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City:
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State:
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Zip Code:
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OFFICIANT AND LOCATION OF MARRIAGE
Officiant:(*)
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Place of Marriage:(*)
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City:
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State:
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Place of Marriage (above): Enter the church, worship site, oratory or other location where the wedding is to take place.

     
Proposed Date of Marriage
     
Month
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Day
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Year
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Parish of Record is optional. Please provide the parish name and city holding the marriage records if it differs from the place of marriage.

Parish of Record:
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City:
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DISPENSATION(s) FROM (THE IMPEDIMENT OF) (check all that apply)
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Also known as Disparity of Cult. This involves a marriage between a Catholic and a non-baptized (c. 1086 §1).

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Also known as Disparity of Cult. This involves a mixed marriage between a Catholic and a doubtfully baptized non-Catholic (c. 1086 §3). Doubtfully baptized refers to concerns whether baptism was trinitarian in nature or a lack of proper documentation.

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Canonical Form requires: (a) the presence of the local ordinary, parish priest or a priest or deacon delegated by either of them, AND (b) the presence of two witnesses (c. 1108 §1). Dispensation from Canonical Form allows a person who is not a Catholic cleric to act as the officiant of the Church and witness the marital consent.

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Other Dispensation(s):
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PERMISSION(s) FOR (check all that apply)
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If the baptism of the non-Catholics is doubtful please select #2 Disparity of Worship ad cauletam. Doubtfully baptized refers to concerns whether a baptism was trinitarian in nature or a lack of proper documentation.

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Natural obligations may be toward a third party (i.e. previous spouse or child(ren)). (c. 1071 §3)"

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(c. 1071 §6)

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(c. 1108 §1)

Other Reason(s):
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Other Permission(s):
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For the following reason(s) for Dispensation and/or Permission (check all that apply):
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Other Reason:
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If you have other supporting documents, please click Browse.. to upload
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If you have other supporting documents, please click Browse.. to upload
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If you have other supporting documents, please click Browse.. to upload
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If you are unable to upload other supporting documents, please mail to Marriage Dispensations and Permissions, PO Box 369 Ogdensburg, NY 13669 or fax to 1-866-314-7296 or email to dispensations@rcdony.org.

Please note: The Application for Matrimonial Dispensation/Permission will not be processed until the Bishop's delegate has received all required documents.

Part A: Declaration and Promise to be made in case of a mixed marriage

Upload Groom's baptismal certificate or documentation if available.

Click Browse.. to upload a copy of the Baptismal Documentation:
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If you are unable to upload, please mail to Marriage Dispensations and Permissions, P.O. Box 369 Ogdensburg, NY 13669 or fax to 1-866-314-7296 or email to eforms@rcdony.org.

Upload Bride's baptismal certificate or documentation if available.

Click Browse.. to upload a copy of the Baptismal Documentation:
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If you are unable to upload, please mail to Marriage Dispensations and Permissions, P.O. Box 369 Ogdensburg, NY 13669 or fax to 1-866-314-7296 or email to eforms@rcdony.org.

eSignature of Catholic Party:(*)
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By typing my full name above, I reaffirm my faith in Jesus Christ and with God’s help I intend to continue living that faith in the Catholic Church. I promise to do all in my power to share the faith I have received with my child(ren) by having them baptized and brought up in the Catholic faith.

The Catholic party either authorized me to insert their electronic signature above or made the declaration and promise verbally to me.

eSignature of  Priest/Deacon:
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By typing my full name above, I hereby affirm the required promise and declaration has been made by the Catholic party in my presence. The non-Catholic party has been informed of this requirement and is fully aware of the promise and obligation on the part of the Catholic.

Part B: Canonical Form
Reason for requesting Dispensation for Canonical Form
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Please explain the reasons for requesting a Dispensation from Canonical Form in detail:(*)
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Reasons why a Dispensation from Canonical Form may be requested (above): a) To achieve family harmony; b) To avoid family alienation; c) Significant friendship/relationship with non-Catholic minister; and d) Religious edifice has importance to non-Catholic.

Part C: Parental Permission for the Marriage of a Minor (person under 18)
Today's Date:
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Groom's Parents Full Name(s):
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Bride's Parents Full Name(s):
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eSignature of Priest/Deacon:(*)
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By typing my full name in the Priest/Deacon field above I verify that the parent(s) listed in the Parents Full Name fields above have consented to the marriage of their child.

Part D: Person bound by natural obligations to a third party or child(ren) from a previous union
Today's Date:
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eSignature of Groom:
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By typing my full name above, I hereby affirm that my pending marriage will under no circumstances effect or change my role or obligations as a parent to my child(ren) or obligations to a third party.

Today's Date:
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eSignature of Bride:
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By typing my full name above, I hereby affirm that my pending marriage will under no circumstances effect or change my role or obligations as a parent to my child(ren) or obligations to a third party.

The party or parties authorized me to insert their electronic signature above or made the affirmation verbally to me.
eSignature of Priest/Deacon:(*)
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By typing my full name in the Priest/Deacon field above, I affirm that the natural obligations of the party or parties are being met to the best of my knowledge.

eSignature of Priest/Deacon:(*)
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By typing my full name above, I hereby affirm and certify that the information provided on the Application for Matrimonial Dispensation and Permission is complete and accurate to the best of my knowledge.