Sacramental Certificates

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.

Please Select Sacraments For Which You Need A

Sacramental Certificate REQUIRED

30.0 – Baptism

30.0 – First Communion

30.0 – Confirmation

30.0 – Marriage

30.0 – Death - record lookup Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Your relationship to this person
(self, mother, father, son, daughter, etc. please specify)
REQUIRED Please fill out this field. Please enter valid data.

Mother's name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.

Mother's maiden name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.

Father's name of person who received the Sacrament REQUIRED Please fill out this field. Please enter valid data.

Date of Sacrament REQUIRED Please fill out this field. Please enter valid data.

I agree that I have the right to access this information
on behalf of the person named as receiving the Sacrament. Please select this field.

I understand and agree that a request of archival search
for records does not guarantee that records
will be found. Please select this field.

I understand and agree that the sacramental certificate
fee is non-refundable. Please select this field.

I understand and agree that the sacramental certificate
search will take over 2 months to locate if the records are before 1950. Please select this field.

I understand and agree that the sacramental certificate
search regular processing time is 15 business days if the sacrament was obtained after 1950. Please select this field.

I understand and agree that if I do not provide accurate information such as exact dates and correct name spellings for all of the above requested fields then it can significantly extend the processing time. Please select this field.

I confirm that I am requesting a sacramental certificate
from St Stanislaus Kostka Church located in Chicago
at 1351 W Evergreen Ave. Please select this field.

I agree to pay the online convenience fee (3%) REQUIRED Yes Please fill out this field.

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