Jewish Status Application – Orthodox Rabbinical Council of British Bolumbia

Request for a Jewish Status Certification

We recommend gathering and submitting as much documentation as possible to support your application. This helps ensure a smoother and stronger verification process. If certain documents are currently unavailable, you may still submit the form with the materials you have provided. Our team will review your submission and work with the information available. We are here to assist you throughout the process.

First Name

Middle Name

Last Name

Full Hebrew Name

Address Line 1

Address Line 2

City

State/Province

Country

ZIP/Postal Code

Occupation

Father's First Name

Father's Middle Name

Father's Full Hebrew Name

Mother's First Name

Mother's Middle Name

Mother's Full Hebrew Name

Date of Marriage

Location of Marriage

Name of Officiating Rabbi

Is your father born Jewish?

Yes No

Is your mother born Jewish?

Yes No

Select one that applies to your father:

Kohen Levi Yisroel

Were you born of (both) of your parents' first marriage?

Yes No

Date of Adoption (if applicable)

Are there any conversions in the family?

Yes No

If yes, please specify who, where and when?

Marital Status:

Never Married Married Divorced Widowed

Religious Divorce Supervised By (If Applicable):

If you have been previously married:

Name of Spouse

Address

City

State/Province

ZIP/Postal Code

Country

Home Number

Work Number

Cell Number

Birth Certificate

Driver's License (Must Be In Colour)

Mother's Birth Certificate

Parents' Ketuba

Marriage Certificate of Parents

Parents' Gett Certificate (If Divorced)

Death Certificate (If Applicable)

Reference #1

First Name

Last Name

Address

City

State/Province

ZIP/Postal Code

Country

Home Number

Cell Number

Email Address

Driver's License

Reference #2

First Name

Last Name

Address

City

State/Province

ZIP/Postal Code

Country

Home Number

Cell Number

Email Address

Driver's License