Iowa Commemorative Marriage Certificate Application
Official state formCommemorative certificatesFree downloadLast verified November 10, 2026
Application for a commemorative certificate of a marriage that took place in Iowa. It is a keepsake, not a valid certified copy or a legal document. It goes to the Bureau of Health Statistics.
Who can use this form
- A person named on the marriage record
- That person's spouse, children, legal parents, grandparents, grandchildren, siblings, legal representative or guardian
- Legal guardians, legal representatives and siblings must send additional proof of entitlement
What to send with it
- The completed application with both spouses' names; the marriage must have occurred in Iowa
- A copy of your current government-issued photo ID
- Payment in U.S. funds by check or money order (cash is accepted in person only)
- A notarized signature when you mail the request
Where to send it
- Mail to
- Iowa Department of Health and Human Services Bureau of Health Statistics Lucas State Office Building 1st Floor, 321 E. 12th Street Des Moines, Iowa 50319-0075
- State fee
- $35 for each commemorative marriage certificate
- Typical processing
- The form says certificates are delivered within 60 days of application; the office page says about 60 business days.
- Form revision
- UPDATED January, 2024
- Source
- Official government page