Sacramental Record Request Form

All requests for Sacramental Certificates (official documents attesting to a sacrament having been conferred –not issued for family history purposes) should go to the parish that holds the original sacramental record book, which is the Church of Baptism. They are the official holder of all Sacramental records for an individual. The requester must be an authorized recipient as defined below. In the case of parishes that have merged, the records reside with the receiving parish.

Authorized recipients include:

· The individual named in the record (if over age 18 or an emancipated minor).

· A parent or legal guardian of the individual (if the individual is under 18).

· Officials of the Archdiocese of Saint Paul and Minneapolis, other dioceses, or of parishes of the Archdiocese or of other Roman Catholic dioceses.

· Other parties as designated or permitted by court order, subpoena, summons, or state or federal statute.

Parishes do not provide sacramental information for genealogy research, nor are sacramental certificates issued for that purpose.

Name

Name of person making the request

First Name

Last Name

Email

Name and address of Church to which record will be sent

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of person whose records are being requested

(If different from above; Include any nickname that may have been used.)

Date of Birth

MM

DD

YYYY

Parents Names

What is your relationship to this person?

I would like to request a copy of the following sacramental records from St Therese Church

Baptism

Reconciliation

First Holy Communion

Confirmation

Wedding/Marriage Certificate

Year of Requested Sacrament

Please note whose attention this should be sent

Reason for requested certificate (ie. Confirmation candidate, Marriage, Godparent, etc.)

If you were an RCIA Candidate here, please write the year you completed your studies.