City of Burlington, Vermont

If the Civil Union License was not obtained in Burlington, you must contact the town in which the license was issued to receive a copy of the certificate.

If you’re unsure of what town the Civil Union License was issued in, you may contact the State of Vermont Archives to obtain any records for all towns in Vermont. For information on records over 5 years old call (802) 828-3286. For those less than 5 years old contact (802) 863-7275.

Date of Civil Union (mm/dd/yyyy) *

Full Name of Party A

Full Name of Party B

Your Name *

Relationship to Person Whose Cert. is Requested

Mailing Address *

City *

State *

ZIP Code *

Daytime Phone Number *

Email Address *

Quantity Certified Copies *

Quantity Non-certified Copies *

Amount Due (does not include service fee) $0.00