Divorce Certificate Format Templates & Samples

Basic Divorce Certificate Format (For General Use)

DIVORCE CERTIFICATE

Certificate No.: [DC-2025-XXX]

This is to certify that the marriage between:

Full Name of Husband: ______________________  

Full Name of Wife: _________________________  

Was legally dissolved on:

Date of Divorce: ___________________________

By the [Name of Court], under the jurisdiction of:

City/County: _______________________________  

State: _____________________________________  

Court Case No.: ____________________________

Date of Issue: _____________________________  

Seal of Court: ____________  

Registrar’s Signature: ______________________  

Registrar’s Name: __________________________

Use case: Personal reference, document verification, general proof of divorce.

Divorce Certificate Format for Visa or Immigration

OFFICIAL DIVORCE CERTIFICATE

Issued By: [Name of Family Court or Government Authority]  

Certificate No.: [Immigration/Case No.]

This document certifies that:

Applicant Name: ___________________________  

Date of Birth: _____________________________  

Nationality: _______________________________  

And

Ex-Spouse Name: __________________________  

Date of Birth: _____________________________  

Nationality: _______________________________

Were legally divorced on: [MM/DD/YYYY]

Court Name: ______________________________  

Jurisdiction: ______________________________  

Case Reference No.: ________________________

Date Issued: _______________________________  

Authorized Signature: ______________________  

Seal: _______________  

[Embassy / Immigration Dept. / Notary Stamp]

Use case: For embassies, USCIS, or visa applications requiring marital status proof.

Divorce Certificate Format by Family Court

FAMILY COURT DIVORCE CERTIFICATE

State: _________________________  

County: ________________________

Court Name: ______________________  

Certificate No.: _________________

This certifies the dissolution of marriage between:  

Petitioner: ____________________________  

Respondent: ___________________________

Final Judgment Passed On: [MM/DD/YYYY]  

Court Case Number: ____________________  

Decree Type: [Contested / Mutual Consent]  

Child Custody Status: [If applicable]  

Alimony/Settlement: [Brief Summary]

Issued under the authority of the court on:  

Date of Issue: ____________________________  

Judge’s Name: ___________________________  

Judge’s Signature: _______________________  

Seal of Court: ____________________________

Use case: Legal documentation, court record request, or notarized copies.

Digital Divorce Certificate Format (For Online/State Portal Use)

DIGITAL DIVORCE CERTIFICATE

Certificate ID: DVC-Online-[Unique Code]  

Issued by: [State e-Civil Registry]  

URL for Verification: www.[stateportal].gov/verify/dvc

This certifies that:

Husband: [Full Name]  

Wife: [Full Name]  

Were legally divorced on: [MM/DD/YYYY]

Court: [City/County Court]  

Case ID: [XXXXXXXX]  

Digital Signature: [QR Code or E-Sign]  

Date of Issue: [MM/DD/YYYY]

[Verified through state e-signature under IT Act compliance]

Use case: E-government services, downloadable from online portals, verifiable via QR.

Affidavit-Based Divorce Certificate (For Self-Declarations)

AFFIDAVIT OF DIVORCE STATUS

I, _______________ [Your Full Name], son/daughter of _______________ [Parent’s Name], born on _______________ [DOB], residing at ______________________________ [Address], do hereby solemnly affirm and declare that:

1. I was legally married to _______________ [Ex-Spouse’s Name] on _______________ [Date of Marriage].

2. Our marriage was legally dissolved by _______________ [Name of Court] on _______________ [Date of Divorce].

3. A certified copy of the divorce decree has been submitted to relevant authorities.

I make this declaration truthfully and of my own free will.

Date: ______________  

Signature: ______________  

Notary/Commissioner of Oaths: ______________  

Seal: ______________

Use case: Self-declaration for private use, background checks, or institution verification.