This form contains 51 fields organized into 19 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.
Additional Names
Continued If you are seeking to change additional names, you must prepare a list and attach it to this petition as Attachment 2 CheckBox
Select this checkbox if you are seeking to change additional names. If selected, you must attach a separate list as Attachment 2.
Attachments
Number of pages attached (specify number) Text
Provide the number of pages attached to your petition. Enter a two-digit number representing the total pages added.
Max length: 2 characters
Attorney Information
state bar number Text
Enter the state bar number of the attorney filing on behalf of the petitioner.
name Text
Enter the name of the attorney or party associated with this petition.
firm name Text
Enter the name of the law firm representing the petitioner, if applicable.
street address Text
Enter the street address of the attorney or firm.
city Text
Enter the city corresponding to the attorney’s mailing address.
state Text
Enter the two-letter state abbreviation for the attorney’s address.
Max length: 2 characters
zip code Text
Enter the zip code for the attorney’s mailing address.
telephone number Text
Enter the telephone number for the attorney, including area code.
fax number Text
Enter the fax number for the attorney, if available.
email address Text
Enter the email address for the attorney for contact purposes.
attorney for name Text
Specify the name of the party for whom the attorney is representing in the name change petition.
Case Info
case number Text
Enter the case number assigned to this petition if one has already been provided.
Change Document
wants a name change on a marriage license, and was married in this county CheckBox
Select this option if the petitioner wants a name change to be reflected on a marriage license and was married in this county.
wants a name change on their or their child's birth certificate, which was issued in this county CheckBox
Select this option if the petitioner wishes to change the name on their or their child's birth certificate, issued in this county.
Court Info
superior court of California county of Text
Enter the name of the county where the Superior Court of California is located.
street address Text
Provide the street address for the court location as shown on the form caption.
mailing address Text
Enter the mailing address associated with the court where the petition is filed.
city and zip code Text
Provide the city and ZIP code for the court’s location.
branch name Text
Enter the name of the specific branch of the court, if applicable.
Current Name
petitioner present name Text
Provide the petitioner’s current legal name as it presently appears on official records.
present name Text
Enter the current legal name of the petitioner as it appears in this section of the form.
present name Text
Provide the current legal name corresponding to the new proposed name above.
present name Text
Provide the current legal name that corresponds to the additional proposed name listed.
Guardian Info
two parents CheckBox
Check this box if both parents are involved in the petition as guardians for a person under 18.
one parent CheckBox
Check this box if only one parent is involved in making the petition for the minor.
near relative name and relationship CheckBox
Select this option if a near relative is providing consent or acting as a guardian in the petition.
enter name and relationship of near relative Text
Enter the full name and relationship of the near relative acting in a guardian role.
guardian name CheckBox
Check this box if a guardian (other than a parent) is making the request on behalf of the person under 18.
enter name of guardian making request on behalf of person under 18 Text
Provide the name of the guardian who is filing the petition on behalf of the minor.
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.
Legal Representation
attorney for an individual under the jurisdiction of the juvenile court CheckBox
Select this checkbox if an attorney is representing an individual under the jurisdiction of the juvenile court in this petition.
(name) Text
Enter the name of the attorney representing the individual under juvenile court jurisdiction.
Minor Information
The number of persons under 18 years of age whose names are to be changed is (specify) Number
Specify the number of persons under 18 years old whose names are to be changed.
Name Change Details
This petition seeks to change the name of (check one) to conform to that person's gender identity CheckBox
Select this option if the petition is filed to change a person's name to better reflect their gender identity.
enter name Text
Enter the new name that conforms to the petitioner’s gender identity as specified in the petition.
Petitioner Info
petition of name of each petitioner Text
List the full legal names of each petitioner involved in the change of name petition.
Petitioner Information
petitioner CheckBox
Check this box if the petitioner is making the request for the name change on their own behalf.
(name) CheckBox
Select this checkbox to indicate that the petition applies to the petitioner’s current legal name.
Proposed Name
changed to proposed name Text
Provide the proposed new legal name that the petitioner is requesting in the name change process.
changed to proposed name Text
Enter the new proposed name (first instance) for the petitioner whose name is being changed.
changed to proposed name Text
Enter an additional proposed new name (second instance) if changing more than one name.
Representation
other (specify) CheckBox
Check this box if you wish to specify an alternative guardian or representative option not already listed.
Specify if someone other is making request on behalf of person under 18 Text
Enter the name or details of the person making the request on behalf of a person under 18, if it is someone other than the petitioner.
Residency
resides in this county CheckBox
Check this box if the petitioner currently resides in the county where the court is located.
does not live in California and check 1 or 2 CheckBox
Check this box if the petitioner does not live in California, and then select either option 1 or 2 as applicable.
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.