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Here is the text we could read:

ATTORNEY (leave blank if no attorney)

STATE BAR NUMBER:

FOR COURT USE ONLY

CONFIDENTIAL

NC-400

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

ATTORNEY FOR (name):

[CONFIDENTIAL]

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

STATE:

FAX NO.:

ZIP CODE:

PETITION OF (name of each petitioner):

[CONFIDENTIAL]

CONFIDENTIAL COVER SHEET NAME CHANGE PROCEEDING UNDER   
ADDRESS CONFIDENTIALITY PROGRAM (SAFE AT HOME)

CASE NUMBER:

INSTRUCTIONS: This petition for change of name is being brought by a petitioner who is a participant in the Secretary 
of State's address confidentiality program under Government Code section 6205 et seq. and who is petitioning (1) to 
avoid domestic violence, (2) to avoid stalking, (3) to avoid sexual assault, or (4) to avoid human trafficking.  As 
provided by Code of Civil Procedure section 1277(b), the current legal name of the petitioner must be kept 
confidential by the court and must not be published or posted in the court's calendars, indexes, or register of 
actions, or by any means or in any public forum.

This Confidential Cover Sheet must be affixed to the first page of the petition and to any other documents filed  
in this name change action. (See Information Sheet for Name Change Proceedings Under Address Confidentiality Program) 
(Safe at Home) (form NC-400-INFO).)

This cover sheet is affixed to the following documents (check all that apply): 

Petition for Change of Name (form NC-100)
Attachment to Petition for the Name Change (form NC-110)
Order to Show Cause for Change of Name (form NC-120)
Decree Changing Name (form NC-130) 
Civil Case Cover Sheet (form CM-010)
Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program (Safe at 
Home) (form NC-410)
Declaration in Support of Application to File Documents Under Seal in Name Change Proceedings Under Confidentiality  
Program (Safe at Home) (form NC-420)
Order on Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program  
(Safe at Home) (form NC-425)
Other (describe):

The name of the petitioner is to remain confidential UNLESS:

The petitioner's participation in the address confidentiality program is ended (Gov. Code, § 6206.7); or

The court finds by clear and convincing evidence that the allegations of domestic violence or stalking in the petition 
are false. (Code Civ. Proc., § 1278(b).)

Form Adopted for Mandatory Use  
Judicial Council of California  
NC-400 [Rev. January 1, 2019]

CONFIDENTIAL COVER SHEET—NAME CHANGE PROCEEDING 
UNDER ADDRESS CONFIDENTIALITY PROGRAM (SAFE AT HOME) 
(Change of Name)

Page 1 of 1

Code of Civil Procedure  §§ 1277, 
1278; Cal. Rules of Court, rule 2.575 
www.courts.ca.gov

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Date:

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Confidential Cover Sheet—Name Change Proceeding Under Address Confidentiality Program (Safe at Home)

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): 27
Average fields per page: 27
Reading Level: Grade 8
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_c_page_std_p_county was NC-400[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.60 conf)
n_c_page_std_p_info__1 was NC-400[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Branch_ft[0] (0.39 conf)
n_c_page_std_p_info_city__1 was NC-400[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].CityZip_ft[0] (0.40 conf)
n_c_page_std_p_street was NC-400[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].Street_ft[0] (0.41 conf)
n_c_page_std_p_info__2 was NC-400[0].Page1[0].StdP1Header_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.40 conf)
n_c_page_std_p_number_ft was NC-400[0].Page1[0].StdP1Header_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.41 conf)
n_c_page_std_p_header_info__1 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyState_ft[0] (0.41 conf)
n_c_page_std_p_header_info__2 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyZip_ft[0] (0.40 conf)
n_c_page_std_p_info_city__2 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyCity_ft[0] (0.41 conf)
n_c_page_std_p_info_street was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyStreet_ft[0] (0.41 conf)
n_c_page_std_p_header_info__3 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFirm_ft[0] (0.44 conf)
n_c_page_std_p_info_name was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyName_ft[0] (0.39 conf)
n_c_page_std_p_header_info__4 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Phone_ft[0] (0.41 conf)
n_c_page_std_p_header_info__5 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Fax_ft[0] (0.41 conf)
n_c_page_std_p_info_email was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].Email_ft[0] (0.44 conf)
n_c_page_std_p_header_info__6 was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].AttyFor_ft[0] (0.40 conf)
n_c_page_std_p_info_ft was NC-400[0].Page1[0].StdP1Header_sf[0].AttyInfo[0].BarNo_ft[0] (0.42 conf)
n_c_page_nc_petition was NC-400[0].Page1[0].NCPetition[0] (0.31 conf)
n_c_page_nc_attachment was NC-400[0].Page1[0].NCAttachment[0] (0.31 conf)
n_c_page_nc_order was NC-400[0].Page1[0].NCOrder[0] (0.31 conf)
n_c_page_nc_decree was NC-400[0].Page1[0].NCDecree[0] (0.31 conf)
n_c_page_nc_civil_case was NC-400[0].Page1[0].NCCivilCase[0] (0.36 conf)
n_c_page_nc_application was NC-400[0].Page1[0].NCApplication[0] (0.31 conf)
n_c_page_nc_declaration was NC-400[0].Page1[0].NCDeclaration[0] (0.31 conf)
n_c_page_nc_orderonapp was NC-400[0].Page1[0].NCOrderonapp[0] (0.31 conf)
n_c_page_nc was NC-400[0].Page1[0].NCOther[0] (0.31 conf)
n_c_page_date_field was NC-400[0].Page1[0].DateField1[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

Confidential Cover Sheet—Name Change Proceeding Under Address Confidentiality Program (Safe at Home)

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Identified Data Fields:

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