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| | 10200SB0139sam001 | - 2 - | LRB102 10217 LNS 24672 a |
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| 1 | | shall not permanently change the gender identifying language |
| 2 | | in the clerk's records, and the affidavit and issuance shall |
| 3 | | be kept in the permanent records of the clerk. |
| 4 | | The affidavit shall be created by the county clerk, may |
| 5 | | appear on a combined form with the form under subsection (b), |
| 6 | | and shall be substantially as follows: |
| 7 | | REQUEST FOR NONGENDERED COPY OF A MARRIAGE CERTIFICATE |
| 8 | | I, .........., state that I am a named spouse on a |
| 9 | | marriage license held in this office, that I am still |
| 10 | | married to the other named spouse on that marriage license |
| 11 | | as of the date of this request, and hereby request the |
| 12 | | holder of this record provide me, and only me, with a |
| 13 | | marriage certificate with any gender-identifying language |
| 14 | | removed or changed to "spouse". I affirm that this change |
| 15 | | is for purposes of this certified copy, the change will |
| 16 | | not be made to permanent records, and a record of this |
| 17 | | request shall be held by the holder of this marriage |
| 18 | | record. |
| 19 | | Date.......... |
| 20 | | Signature.......... |
| 21 | | (b) If 2 parties currently married request a marriage |
| 22 | | certificate with gender identifiers changed, such as "bride" |
| 23 | | to "groom" or "groom" to "bride", both parties shall appear |
| 24 | | before the clerk, indicate consent, and complete an affidavit. |
| 25 | | If the clerk is technologically able and the parties desire, |
| 26 | | the change in gender is permanent. |
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| | 10200SB0139sam001 | - 3 - | LRB102 10217 LNS 24672 a |
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| 1 | | The affidavit shall be created by the county clerk, may |
| 2 | | appear on a combined form with the form under subsection (a), |
| 3 | | and shall be substantially as follows: |
| 4 | | REQUEST FOR NONGENDERED COPY OF A MARRIAGE CERTIFICATE |
| 5 | | We, ..........[Spouse A] and ..........[Spouse B], the |
| 6 | | still-married named persons on a marriage license held in |
| 7 | | this office as of the date of this request, hereby request |
| 8 | | the holder of this record to provide a marriage |
| 9 | | certificate with gender-identifying terms such as "bride" |
| 10 | | and "groom" changed as follows: |
| 11 | | ..........[Name of Spouse A] Bride, Groom, or Spouse |
| 12 | | (select one). |
| 13 | | ..........[Name of Spouse B] Bride, Groom, or Spouse |
| 14 | | (select one). |
| 15 | | We affirm that this change is for purposes of this |
| 16 | | certified copy, and the change will not be made to |
| 17 | | permanent records, unless indicated by selecting Yes or No |
| 18 | | (select one) and a record of this request shall be held by |
| 19 | | the holder of this marriage record. |
| 20 | | Date.......... |
| 21 | | Signature of Spouse A.......... |
| 22 | | Signature of Spouse B.......... |
| 23 | | (c) If a county provides a certified record, photocopy, or |
| 24 | | reproduction of an original record in lieu of a summary data |
| 25 | | sheet, the county clerk shall work with the Department of |
| 26 | | Public Health to develop a new certificate that can be issued |
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| | 10200SB0139sam001 | - 4 - | LRB102 10217 LNS 24672 a |
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| 1 | | in lieu of a reproduction of the prior record. Nothing in this |
| 2 | | subsection authorizes the county clerk to permanently mark or |
| 3 | | deface a prior record in lieu of a summary data sheet |
| 4 | | certificate. |
| 5 | | (d) When a clerk issues a nongendered marriage certificate |
| 6 | | under subsection (a), the certificate shall not include any |
| 7 | | language indicating it has been amended nor that it is not a |
| 8 | | true and accurate record of the facts stated therein.".
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