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Connecticut Request for Copy of Civil Union Certificate (VS-39CU ST)

Official state formOther copy requestsForm VS-39CU STFree downloadLast verified November 10, 2026

Mail request to the Connecticut State Vital Records Office for a certified copy of a civil union certificate. Copies for ceremonies from October 1, 2005 to September 30, 2010 carry a statement about the conversion of civil unions to marriages.

Who can use this form

  • Anyone over 18 years of age can request a copy of a Connecticut civil union certificate.
  • Only the parties, the officiator, the town clerk or registrar listed on the certificate, or other persons the Department of Public Health allows, get a copy with Social Security numbers.
  • All other requesters get a certified copy with the Social Security numbers removed.

What to send with it

  • The completed and signed application.
  • A copy of your ID. The form says it can be a Social Security card.
  • $20.00 per copy by money order payable to "Treasurer, State of CT". No personal checks and no cash.

Where to send it

Mail to
State of Connecticut Department of Public Health Vital Records Section Customer Services, MS 11VRS P.O. Box 340308 Hartford, CT 06134-0308
State fee
$20.00 per copy
Typical processing
The office's website says State Vital Records Office processing varies and can be up to 12 weeks. The form does not state a time.
Form revision
Revised: 9/10/2009
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Connecticut Request for Copy of Civil Union Certificate (VS-39CU ST) | Connecticut Form