This form contains 51 fields organized into 11 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Actions
Print this form Button
Press this button to print the form for your records or offline completion.
Save this form Button
Press this button to save your progress on the form.
Clear this form Button
Press this button to clear or reset the form fields.
Attorney or Party Without Attorney
State Bar Number Text
Enter the attorney's State Bar number (leave blank if none).
Name (Attorney or Party) Text
Enter the full name of the attorney or the party without an attorney who is filing this form.
Firm Name Text
Enter the name of the law firm or business the attorney is associated with, or leave blank if not applicable.
Street Address Text
Enter the street address for the attorney or party, including apartment or suite number if applicable.
City Text
Enter the city for the street address provided above.
State Text
Enter the state for the street address provided above.
Max length: 2 characters
ZIP Code Text
Enter the postal ZIP code for the street address provided above.
Telephone Number Text
Enter a daytime telephone number where the attorney or party can be reached, including area code.
Fax Number Text
Enter a fax number for the attorney or party, including area code, if available.
E-mail Address Text
Enter the attorney's or party's email address for service and correspondence.
Attorney For (Name) Text
If the filer represents another party, enter the name of the party being represented; otherwise leave blank.
Gender Identity Conformity
Petition seeks name change to conform to gender identity Checkbox
Check this box when the petition is seeking to change a person's name in order to conform that person's name to their gender identity.
Change is for the petitioner Checkbox
Check this box when the name being changed is the petitioner's own name.
Change is for another person (specify name) Checkbox
Check this box when the name being changed is for a person other than the petitioner and write that person's name in the space provided.
Requested name to conform to gender identity Text
Enter the full name that the petitioner requests the court to change (the name the person wants to use to conform to that person's gender identity). Fill only if 'Change is for another person (specify name)' 44 (name) is 'Yes'.
Depends on: Change is for another person (specify name)
Instructions
For your protection and privacy, please press the Clear This Form button after you have printed the form Button
This button reminds you to clear the form after printing to protect your privacy.
Number of Attached Pages (NC-110)
Number of NC-110 pages attached Number
Enter the total number of pages of form NC-110 (Name and Information About the Person Whose Name Is to Be Changed) that you are attaching to this petition.
Max length: 2 characters
Number of Minors to be Renamed
Number of persons under 18 Number
Enter the total number of persons under 18 years of age whose names you are requesting the court to change.
Petitioner Present Name and Residency
Petitioner (present name) Text
Enter the petitioner's current full name as it appears now (first, middle, and last) — the present name of the person filing the petition.
Resides in this county Checkbox
Check this box if the petitioner currently resides in this county.
Does not live in California Checkbox
Check this box if the petitioner does not live in California (if checked, also check either item (1) or (2) below to indicate the basis for the petition).
Wants name change on marriage license (was married in this county) Checkbox
Check this box if the petitioner does not live in California and is seeking a name change on a marriage license because they were married in this county. Fill only if 'Does not live in California' does not live in California and (check 1 or 2) is 'Yes'.
Depends on: Does not live in California
Wants name change on birth certificate issued in this county Checkbox
Check this box if the petitioner does not live in California and is seeking a name change on their or their child's birth certificate that was issued in this county. Fill only if 'Does not live in California' does not live in California and (check 1 or 2) is 'Yes'.
Depends on: Does not live in California
Request Made By (For Minors)
two parents Checkbox
Check this box if the request to change the name of a person under 18 is being made jointly by both parents.
one parent Checkbox
Check this box if the request to change the name of a person under 18 is being made by only one parent.
near relative (name and relationship) Checkbox
Check this box if a near relative (provide their name and relationship) is making the request to change the name of the minor.
Near relative — name and relationship Text
Enter the full name of the near relative and their relationship to the minor (for example, 'Jane Smith — aunt'). Fill only if 'near relative (name and relationship)' near relative (name and relationship) is 'Yes'.
Depends on: near relative (name and relationship)
guardian (name) Checkbox
Check this box if the minor's guardian (provide guardian's name) is making the request to change the minor's name.
Guardian (name) Text
Enter the full name of the child's legal guardian who is making the request for the name change. Fill only if 'guardian (name)' guardian (name) is 'Yes'.
Depends on: guardian (name)
attorney for an individual under the jurisdiction of the juvenile court (name) Checkbox
Check this box if an attorney representing an individual under the juvenile court's jurisdiction (provide attorney's name) is making the request.
Attorney for juvenile court (name) Text
Enter the full name of the attorney representing the minor or the individual under the jurisdiction of the juvenile court. Fill only if 'attorney for an individual under the jurisdiction of the juvenile court (name)' attorney for an individual under the jurisdiction of the juvenile court (name) is 'Yes'.
Depends on: attorney for an individual under the jurisdiction of the juvenile court (name)
other (specify) Checkbox
Check this box if someone not listed above is making the request to change the minor's name and specify their relationship or authority.
Other — specify Text
If someone other than the listed categories is making the request, provide that person's name and a brief description of their relationship or authority (for example, 'Court-appointed guardian ad litem — John Doe'). Fill only if 'other (specify)' other (specify) is 'Yes'.
Depends on: other (specify)
Requested Name Changes
Present name (a) Text
Enter the petitioner's current full name for item a — the name they presently use or that appears on official records.
Proposed name (a) Text
Enter the full name the petitioner is asking the court to change to for item a.
Proposed name (b) Text
Enter the full name the petitioner is asking the court to change to for item b.
Present name (b) Text
Enter the petitioner's current full name for item b — the name they presently use or that appears on official records.
Proposed name (c) Text
Enter the full name the petitioner is asking the court to change to for item c.
Present name (c) Text
Enter the petitioner's current full name for item c — the name they presently use or that appears on official records.
Continued (additional names) Checkbox
Check this box if you are seeking to change additional names and will prepare and attach a list of those names to this petition as Attachment 2.
Superior Court Information and Petition Details
County Text
Enter the name of the California county where the superior court case will be filed.
Court Street Address Text
Enter the court's street address (number and street name) for the county listed above.
Court Mailing Address Text
Enter the court's mailing address or P.O. Box for the county listed above.
City and ZIP Code Text
Enter the city and ZIP code where the court is located.
Branch Name Text
Enter the specific courthouse branch or division name that will handle the case (for example, 'Hall of Justice' or 'Family Law').
Petitioner Name(s) Text
Enter the full legal name or names of each petitioner requesting the change of name.
Case Number Text
Enter the court-assigned case number for this petition, if one has already been issued.
Web Link
WWW DOT COURTS DOT CA DOT GOV Button
This button acts as a link to the California courts website for more information or resources.