Wisconsin Termination of Domestic Partnership Certificate Application (F-00124)
Official state formOther copy requestsForm F-00124Free downloadLast verified November 10, 2026
Requests a certified or uncertified copy of a Wisconsin termination of domestic partnership certificate. It is mailed to the Wisconsin State Vital Records Office.
Who can use this form
- One of the persons named on the certificate
- Immediate family: a parent, child, brother or sister, or maternal or paternal grandparent
- A legal custodian or guardian, or a representative of one of these people, including an attorney
- A person who can show the certificate is needed to determine or protect a personal or property right
- A certified copy requires a direct and tangible interest under Wis. Stat. § 69.20(1)
What to send with it
- The completed, signed form
- A photocopy of acceptable identification (see page 2 of the form)
- A check or money order payable to STATE OF WIS. VITAL RECORDS
- A self-addressed, stamped, business-size envelope
- Any additional proof or authorization required
Where to send it
- Mail to
- STATE VITAL RECORDS OFFICE PO BOX 309 MADISON, WI 53701-0309
- State fee
- $20.00 for the first copy; $3.00 for each additional copy issued at the same time. The fee is not refundable if no record is found.
- Typical processing
- May take up to 2 weeks plus mail time
- Form revision
- 12/2023
- Source
- Not provided