Sacrament Certificate Request Form

1. Certificates are only available for sacraments received at Our Lady of Loretto Parish of Redford.
2. Please submit a separate request for each sacrament certificate you are requesting.

Please allow one week for this request to be processed.

Requesting Copy of:

Choose Option Baptism Certificate First Eucharist Certificate Confirmation Certificate Marriage Certificate

Person's Name When Sacrament Received

Date Sacrament Celebrated

Person Requesting Sacramental Certificate

Phone Number

How Would You Like to Receive Certificate?

Choose Option I will pick it up at church (during office hours) Please mail to address below

Name (if different from person requesting certificate)

Street Address

City

State

Choose Option Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Email address

For Baptisms Only

Date of Birth

Father's Name (First and Last)

Mother's Maiden Name (First and Last)

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