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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

NC-100

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

PETITION OF (name of each petitioner):

STATE:

FAX NO.:

ZIP CODE:

PETITION FOR CHANGE OF NAME

CASE NUMBER:

Before you complete this petition, read the Instructions for Filing a Petition for Change of Name  (form NC-100-INFO).  (To change your 
name as part of a petition to recognize a change of gender, and obtain a new California birth certificate for yourself or your child, or a 
marriage certificate reflecting those changes, use form NC-300.)

1. 

Petitioner (present name):
a.
b.

resides in this county.
does not live in California and (check 1 or 2) 

(check a or b)

(1.)
(2.)

wants a name change 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.

2. 

Petitioner requests that the court decree the following name changes (list every name that you are seeking to change):

Present name

Proposed name

changed to

changed to

changed to

a.

b.

c.

e.

f.

3. 

5. 

Continued (If you are seeking to change additional names, you must prepare a list and attach it to this petition as Attachment 
2.)

Petitioner requests that the court issue an order directing all interested persons to appear or file objections to show cause why this 
petition for change of name of the persons identified in item 2 should not be granted.

4.  The number of persons under 18 years of age whose names are to be changed is (specify):

two parents.

If this petition requests the change of name of any person or persons under 18 years, this request is being made by
a.
b.
c.
d.

one parent.
near relative (name and relationship):
guardian (name):

attorney for an individual under the jurisdiction of the juvenile court (name):

other (specify):

6.

This petition seeks to change the name of (check one)                                                              
to conform to that person's gender identity. 

petitioner

(name):

7. For each person whose name is to be changed, petitioner provides the following information (you must attach Name and 

Information About the Person Whose Name Is to Be Changed (form NC-110) for each person identified in item 2):

a.  

Number of pages attached (specify number):

b.–f. (These items are on the attached page or pages of form NC-110.)

Form Adopted for Mandatory Use 
Judicial Council of California 
NC-100 [Rev. January 1, 2023]

PETITION FOR CHANGE OF NAME  
(Change of Name)

Code of Civil Procedure, § 1275 et seq. 

Page 1 of 1

Petition for Change of Name

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 46
Average fields per page: 46
Reading Level: Grade 10
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

n_page_caption_party_info_bar was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].AttyBarNo[0] (0.51 conf)
n_c_page_caption_atty_party_info_name was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].Name[0] (0.42 conf)
n_c_page_caption_atty_party_info_firm was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].AttyFirm[0] (0.43 conf)
n_c_page_caption_atty_party_info_street was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].Street[0] (0.42 conf)
n_c_page_caption_atty_party_info_city was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].City[0] (0.42 conf)
n_c_page_caption_atty_party_info_state was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].State[0] (0.42 conf)
n_c_page_caption_atty_party_info_zip was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].Zip[0] (0.42 conf)
n_page_caption_party_info_phone was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].Phone[0] (0.42 conf)
n_c_page_caption_atty_party_info_fax was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].Fax[0] (0.42 conf)
n_page_caption_party_info_email was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].Email[0] (0.42 conf)
n_c_page_caption_atty_party_info was NC-100[0].Page1[0].Caption[0].AttyPartyInfo[0].AttyFor[0] (0.43 conf)
n_page_caption_court_info_county was NC-100[0].Page1[0].Caption[0].CourtInfo[0].CrtCounty[0] (0.39 conf)
n_page_caption_court_info_street was NC-100[0].Page1[0].Caption[0].CourtInfo[0].CrtStreet[0] (0.39 conf)
n_page_caption_court_info_add was NC-100[0].Page1[0].Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.42 conf)
n_page_caption_court_info_city was NC-100[0].Page1[0].Caption[0].CourtInfo[0].CrtCityZip[0] (0.40 conf)
n_page_caption_court_info_branch was NC-100[0].Page1[0].Caption[0].CourtInfo[0].CrtBranch[0] (0.39 conf)
n_page_caption_title_party_name was NC-100[0].Page1[0].Caption[0].TitlePartyName[0].TextField1[0] (0.39 conf)
n_c_page_case_number_ft was NC-100[0].Page1[0].Caption[0].CaseNumber[0].CaseNumber_ft[0] (0.41 conf)
n_page_list_present_name was NC-100[0].Page1[0].List1[0].PetitionerPresentName[0] (0.37 conf)
n_c_page_list_l_residence was NC-100[0].Page1[0].List1[0].LI1A[0].residence[0] (0.40 conf)
n_c_page_list_l_b_residence was NC-100[0].Page1[0].List1[0].LI1B[0].residence[0] (0.40 conf)
n_c_list_l_b_sub_rb__1 was NC-100[0].Page1[0].List1[0].LI1B[0].SubLIB[0].SubLiB1[0].TwoParents_rb[0] (0.45 conf)
n_c_list_l_b_sub_rb__2 was NC-100[0].Page1[0].List1[0].LI1B[0].SubLIB[0].SubLiB2[0].TwoParents_rb[0] (0.45 conf)
n_page_list_item_present_name__1 was NC-100[0].Page1[0].List2[0].Item2[0].SubItems[0].SubitemA[0].PresentName1[0] (0.42 conf)
n_c_page_list_item_name__1 was NC-100[0].Page1[0].List2[0].Item2[0].SubItems[0].SubitemA[0].ProposedName1[0] (0.37 conf)
c_page_list_item_b_name__1 was NC-100[0].Page1[0].List2[0].Item2[0].SubItems[0].SubitemB[0].ProposedName2[0] (0.37 conf)
c_page_list_item_b_name__2 was NC-100[0].Page1[0].List2[0].Item2[0].SubItems[0].SubitemB[0].PresentName2[0] (0.42 conf)
n_c_page_list_item_name__2 was NC-100[0].Page1[0].List2[0].Item2[0].SubItems[0].SubitemC[0].ProposedName3[0] (0.37 conf)
n_page_list_item_present_name__2 was NC-100[0].Page1[0].List2[0].Item2[0].SubItems[0].SubitemC[0].PresentName3[0] (0.42 conf)
n_c_page_list_item_check_box was NC-100[0].Page1[0].List2[0].Item2[0].CheckBox9[0] (0.38 conf)
n_c_page_list_count was NC-100[0].Page1[0].List4[0].Under18Count[0] (0.40 conf)
n_c_page_list_l_guardian was NC-100[0].Page1[0].List5[0].LI5A[0].guardian[0] (0.36 conf)
n_c_page_list_li_b_guardian was NC-100[0].Page1[0].List5[0].Li5B[0].guardian[0] (0.40 conf)
n_c_page_list_li_guardian__1 was NC-100[0].Page1[0].List5[0].Li5C[0].guardian[0] (0.40 conf)
n_c_relative_name_relation was NC-100[0].Page1[0].List5[0].Li5C[0].RequesterRelativeNameRelation[0] (0.41 conf)
n_c_page_list_li_guardian__2 was NC-100[0].Page1[0].List5[0].Li5D[0].guardian[0] (0.40 conf)
n_c_page_list_li_requester_guardian_name was NC-100[0].Page1[0].List5[0].Li5D[0].RequesterGuardianName[0] (0.38 conf)
n_c_page_list_li_e_guardian was NC-100[0].Page1[0].List5[0].Li5E[0].guardian[0] (0.40 conf)
n_c_page_list_e_text_field was NC-100[0].Page1[0].List5[0].Li5E[0].TextField[0] (0.46 conf)
n_c_page_list_li_f_guardian was NC-100[0].Page1[0].List5[0].Li5F[0].guardian[0] (0.40 conf)
n_c_page_list_li_f_requester_oth_specify was NC-100[0].Page1[0].List5[0].Li5F[0].RequesterOthSpecify[0] (0.40 conf)
n_c_page_list_name_change was NC-100[0].Page1[0].List6[0].NameChangeGender_cb[0] (0.35 conf)
n_c_page_list_petitioner__1 was NC-100[0].Page1[0].List6[0].petitioner[0] (0.39 conf)
n_c_page_list_petitioner__2 was NC-100[0].Page1[0].List6[0].petitioner[1] (0.39 conf)
n_page_list_conform_gender_name was NC-100[0].Page1[0].List6[0].ConformToGenderOthName[0] (0.40 conf)
n_c_page_list_li_attachment_count was NC-100[0].Page1[0].List7[0].Li7A[0].AttachmentCount[0] (0.40 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Petition for Change of Name

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02