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Here is the text we could read:

PETITION OF (name of petitioner):

CASE NUMBER:

NC-311

BIRTH CERTIFICATE FOR CHILD OF PETITIONER—ATTACHMENT
Attachment to Petition for Recognition of Change of Gender and Sex Identifier, Name Change,
and Issuance of New Certificates (form NC-300)

Petitioner must complete and attach this form to form NC-300 if asking the court to order issuance of a new birth certificate of a minor or
adult child that reflects petitioner's change in gender, or change in both gender and name. A separate form is required for each child.

1. This is an attachment to a request for an order for the issuance of a new birth certificate for a minor or adult child to reflect

Petitioner is seeking a decree changing their name as part of this petition, and form NC-110 is also attached.

Petitioner has already obtained a decree for change of name; a certified copy of the decree is attached to the petition
for recognition of change of gender and sex identifier.

petitioner's (check all that apply)

change of gender and sex identifier.

change of name.

(1)

(2)

Information about petitioner's minor or adult child
a.
b.
c. City and county of birth:

Name of child:
Date of birth:

Petitioner's child is

a minor (under 18 years of age)

an adult (18 years of age or older)

Child whose birth certificate will be changed is an adult.

If petitioner's child is 18 years of age or older, this request must be signed by the adult child whose birth certificate would be
changed by granting this petition, unless the adult child is deceased or incapable of providing a signature. (Check applicable item
below.)

Petitioner's adult child agrees to the issuance of a new birth certificate and provides a signature below.

(TYPE OR PRINT NAME)

(SIGNATURE OF PETITIONER'S ADULT CHILD)

Petitioner's adult child is deceased.

Date of death:

Petitioner's adult child is incapable of providing a signature for the following reason:

Date:

Explain:

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PETITIONER)

Form Adopted for Mandatory Use
Judicial Council of California
NC-311 [New January 1, 2023]

BIRTH CERTIFICATE FOR CHILD OF PETITIONER—ATTACHMENT

Page 1 of 1

Code of Civil Procedure, § 1275 et seq.;
Health & Safety Code, § 103430(b)

NC-311 BIRTH CERTIFICATE FOR CHILD OF PETITIONER—ATTACHMENT

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): 23
Average fields per page: 23
Reading Level: Grade 7
LIST Grouping(s): FA-00-00-00-00.

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_c_page_caption_petitioner was NC-311[0].Page1[0].Caption[0].petitioner[0] (0.53 conf)
n_c_page_caption_casenumber was NC-311[0].Page1[0].Caption[0].casenumber[0] (0.39 conf)
n_c_page_list_li_identifier was NC-311[0].Page1[0].List1[0].Li1a[0].identifier[0] (0.40 conf)
n_c_page_list_li_b was NC-311[0].Page1[0].List1[0].Li1b[0].namechange[0] (0.40 conf)
n_c_li_b_sublib_petitionername__1 was NC-311[0].Page1[0].List1[0].Li1b[0].Sublib[0].Sublib1[0].petitionername1[0] (0.36 conf)
n_c_li_b_sublib_petitionername__2 was NC-311[0].Page1[0].List1[0].Li1b[0].Sublib[0].Sublib2[0].petitionername1[0] (0.36 conf)
n_c_page_list_li_childname was NC-311[0].Page1[0].List2[0].Li2A[0].childname[0] (0.40 conf)
n_c_page_list_li_b_dob was NC-311[0].Page1[0].List2[0].Li2B[0].dob1[0] (0.40 conf)
n_c_page_list_li_citycounty was NC-311[0].Page1[0].List2[0].Li2C[0].citycounty1[0] (0.40 conf)
n_c_page_list_li_petitioner_cb__1 was NC-311[0].Page1[0].List2[0].Li2D[0].petitioner_cb[0] (0.40 conf)
n_c_page_list_li_petitioner_cb__2 was NC-311[0].Page1[0].List2[0].Li2D[0].petitioner_cb[1] (0.40 conf)
n_c_page_list_petitioner_cb was NC-311[0].Page1[0].List3[0].petitioner_cb[0] (0.39 conf)
n_c_page_list_li_petitioner_cb__3 was NC-311[0].Page1[0].List3[0].Li3A[0].petitioner_cb3[0] (0.43 conf)
n_c_page_list_sign_sig_date was NC-311[0].Page1[0].List3[0].Sign3[0].SigDate[0] (0.38 conf)
n_c_page_list_sign was NC-311[0].Page1[0].List3[0].Sign3[0].T14[0] (0.36 conf)
n_c_li_b_item_ft was NC-311[0].Page1[0].List3[0].Li3B[0].Petitioner\.applies\.for\.item\.7b3\.ft[0] (0.40 conf)
n_c_page_list_li_b_petitioner_cb was NC-311[0].Page1[0].List3[0].Li3B[0].petitioner_cb3[0] (0.43 conf)
n_c_li_item_b_ft__1 was NC-311[0].Page1[0].List3[0].Li3C[0].Petitioner\.applies\.for\.item\.7b4\.ft[0] (0.40 conf)
n_c_li_item_b_ft__2 was NC-311[0].Page1[0].List3[0].Li3C[0].Petitioner\.applies\.for\.item\.7b4\.ft[1] (0.40 conf)
n_c_li_item_b_ft__3 was NC-311[0].Page1[0].List3[0].Li3C[0].Petitioner\.applies\.for\.item\.7b4\.ft[2] (0.40 conf)
n_c_page_list_li_petitioner_cb__4 was NC-311[0].Page1[0].List3[0].Li3C[0].petitioner_cb3[0] (0.43 conf)
n_c_page_sign_sig_date was NC-311[0].Page1[0].Sign[0].SigDate[0] (0.40 conf)
n_c_page_sign was NC-311[0].Page1[0].Sign[0].T14[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

NC-311 BIRTH CERTIFICATE FOR CHILD OF PETITIONER—ATTACHMENT

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