OCIA Inquiry FORM

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OCIA Inquiry FORM

OCIA Inquiry Form

First Name:

Middle::

Last:

Full Address:

Telephone Number:

Email Address:

Date of Birth:

Place of Birth

Mother's Full Name:

Maiden Name:

Were you Baptized?

Yes (Please attach a Baptismal Certificate obtained within the past 6 months)

No

Are you presently Married?

Name of Spouse:

Maiden Name (if Applicable)

Spouses Date of Birth:

Spouses Religious Affiliation:

Date of Marriage:

Place of marriage

Were you married (check one)

by a Catholic Priest

by Civil Magistrate/Justice of the Peace

Other Minister?

If married by "other minister" please specify:

Were you previously married?:

If Yes, how many times were you previously married?

If yes, to whom? First name:

Middle Name:

Last Name:

When?:

Were you married (check one)

by a Catholic Priest

a Civil Magistrate/Justice of the Peace

Other Minister?

Where?:

Religious Affiliation of Former Spouse:

How was the marriage terminated?

Was your current spouse previously married?:

If Yes, How many times?

If yes, to whom? First Name:

Middle

Last

Were you married (check one)

by a Catholic Priest

a Civil Magistrate/Justice of the Peace

Other Minister

If "other minister" please specify:

Religious Affiliation of Former Spouse

How was the marriage terminated?

Please describe what has brought you to this point in your life and what you are seeking from the Church

Thank you for contacting us.
We will get back to you as soon as possible.

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Contact Us

47 West High St.
East Hampton, CT 06424

Phone: 860-267-6644

Office Hours

Monday - Friday

8:00 AM - 4:00 PM

Closed 12:00–12:30 PM

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