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Please keep in mind that you can only request certificates for yourself. Processing your certificate will usually take 3 weeks.
If you need to request a certificate for someone else than yourself you will have to contact the Roman Catholic Diocese of Rochester.
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- Date REQUIRED Please fill out this field. Please enter a date.
- Name of person submitting the request
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Name of person for whom the records are being requested
- Relationship between the requesting person and the persin for whon the records are requested Self Child
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- Address REQUIRED Please fill out this field.
- 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.
- Certificate Requested (Check all that apply) REQUIRED Baptism Eucharist Confirmation Holy Matrimony Please fill out this field.
- Date on which Sacrament was celebrated if known, and if not offer any dates or information that might help narrow down the date to locate the record REQUIRED Please fill out this field.
- Name of Church where the sacrament was celebrated REQUIRED Please fill out this field.
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Cabrini

Rochester,NY

Request Certificate