23 Pa.C.S. § 1502

(a) Declaration of authorization.--In all cases in which the parties intend to solemnize their marriage by religious ceremony without officiating clergy, the marriage shall not take place until their right so to do is certified in a declaration in substantially the following form: Commonwealth of Pennsylvania No. .... ss: County of (name) To (name) and (name) Legal evidence having been furnished to me, in accordance with law, this certifies that I am satisfied that there is no legal impediment to you joining yourselves together in marriage. Signed ....................... (Official Title)

(b) Marriage certificates.--In lieu of the certificate set forth in section 1501 (relating to form of marriage certificates), there shall be appended to the declaration two certificates, numbered to correspond to the declaration, in the following form: We hereby certify that on (date), we united ourselves in marriage, at (city, borough or town), County of (name), Pennsylvania, having first obtained from the Court of Common Pleas of (name) a declaration numbered . that the court was satisfied that there was no existing legal impediment to our so doing. Signed ....................... Signed ....................... We, the undersigned, were present at the solemnization of the marriage of (name) and (name), as set forth in the foregoing certificate. Signed ....................... Signed .......................