Second Marriage Consent Declaration Form
Complete this form to declare and confirm consent-related details for a second marriage context.
Applicant and Marital Context
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Marital Status
*
Divorced
Widowed
Separated
Annulled
Legally single
Previous Marriage Ended?
*
Yes
No
Date of Previous Marriage End or Spouse Death
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Declaration Details and Consent
Declaration Statement
Consent Confirmation
*
I agree and declare this information is true
I do not agree
Signature
*
Date Signed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supporting Contact
Contact method
Relationship to subject / applicant role
*
Please Select
Applicant
Spouse
Parent
Sibling
Legal representative
Witness
Other
Submit Declaration
Submit Declaration
Should be Empty: