Episcopal Diocese of Central Pennsylvania Request for Remarriage Consent The request must be received by the Bishop at least 60 days prior to marriage date To:	The Rt. Rev. Audrey C. Scanlan, Bishop of the Diocese of Central Pennsylvania Date of Request:

Information about Priest

Name:	Click or tap here to enter text.	Canonical Residence: Click or tap here to enter text.

Address: Click or tap here to enter text.

Phone: Click or tap here to enter text.	Email: Click or tap here to enter text.

Information about the Ceremony	Date of Ceremony: Click or tap to enter a date.

If at an Episcopal Parish in the Diocese of Central Pennsylvania, which one?

Parish Name and address: Click or tap here to enter text.

If not at a Diocese of Central Pennsylvania parish, name of location: Click or tap here to enter text.

Where will this marriage be recorded? Click or tap here to enter text.

I ask your consent to celebrate and bless the marriage of

Information about Applicant 1

First Name: Click or tap here to enter text.	Last Name: Click or tap here to enter text.

Has the applicant been baptized? ☐ Yes ☐ No If Episcopalian, applicant’s parish: Click or tap here to enter text.

Has the applicant been married previously? ☐ Yes (if yes, number of times) Click or tap here to enter text. ☐ No

Information about Applicant 2

First Name: Click or tap here to enter text.	Last Name: Click or tap here to enter text.

Has the applicant been baptized? ☐ Yes ☐ No If Episcopalian, applicant’s parish: Click or tap here to enter text.

Has the applicant been married previously? ☐ Yes (if yes, number of times) Click or tap here to enter text. ☐ No

[In an attached letter, please give a narrative description of your appraisal of the couple’s readiness to re-marry, including information about the previous marriage(s); the extended family, blended family and children/step-children living, custodial and visitation arrangements; the process and content of self-awareness and relational work accomplished to prepare the couple for re-marriage; and a discussion of the theological understanding of reconciliation and restoration through Jesus Christ as it pertains to the couple.]

Based on my personal and pastoral knowledge of these persons intending to marry (as detailed in the attached letter), and my compliance with all the provisions of Canon 1.18 and Canon 1.19 of The Episcopal Church, I support their joining together in Holy Matrimony.

Permission Granted:

Priest’s Signature	Bishop’s Signature

Date of Consent:

Please return completed form to:

The Right Rev. Audrey C. Scanlan via email to the bishop’s executive assistant at nfree@diocesecpa.org