Illinois Application for Verification of Dissolution of Marriage or Civil Union Record Files
Official state formRecord search and verificationFree downloadLast verified November 10, 2026
Asks the Illinois Department of Public Health to verify the facts of an Illinois dissolution of marriage (1962 onward) or civil union (2012 onward). The verification is not a decree. Certified decrees come only from the circuit clerk.
Who can use this form
- The applicant named on the form.
- The form states no eligibility restriction.
What to send with it
- The completed and signed form.
- A legible copy of a non-expired government-issued photo ID.
- A check or money order payable to Illinois Department of Public Health. Cash is not accepted.
Where to send it
- Mail to
- Illinois Department of Public Health Division of Vital Records 110 West Lawrence Avenue Springfield, IL 62704-2610
- State fee
- $5, non-refundable. Additional copies are $5 each. $10 for a federal or out-of-state public agency.
- Typical processing
- Regular mail requests are processed in 4 to 6 weeks on average, per the office's dissolution page.
- Form revision
- Rev. 08/26
- Source
- Official government page