Superior Court Ordered Name Change

* Indicates required field

FULL BIRTH NAME (FIRST NAME, MIDDLE NAME(S) AND LAST NAME(S) *

FULL NEW NAME *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

BIRTH DATE *

DRIVERS LICENSE/STATE I.D. NUMBER *

SOCIAL SECURITY NUMBER *

DO YOU HAVE ANY WARRANTS OR TICKETS? *

NO YES

ARE YOU CURRENTLY UNDER THE JURISDICTION OF THE DEPARTMENT OF CORRECTIONS? PAROLE/PROBATION? *

NO YES

UPLOAD WARDEN'S/SUPERVISOR'S APPROVAL FORM *

Max file size: 20MB

If you have tickets or warrants or are under the jurisdiction of the Dept. of Corrections, you must get approval from the Warden/Supervisor of the Parole/Probation officer.

COMMENT *

UPLOAD A PICTURE OF YOUR STATE I.D./LICENSE. *

Max file size: 20MB

UPLOAD YOUR TRIBAL NATIONALITY CREDENTIALS. *

Max file size: 20MB

Submit and Pay Fee