Petitioner's Name A name change petition is meant for an adult seeking to change their name. This is NOT for marriage or divorce name changes (a marriage certificate or divorce judgment can be used). What is the Petitioner's CURRENT name? First, middle, last Are you representing yourself or are you an attorney? Are you representing yourself or are you an attorney? Representing myselfAttorney (State BAR licensed) What is your BAR Number? New Name What will be your NEW name? First, middle, last Would you like to also change your BIRTH RECORDS to this new name? Would you like to also change your BIRTH RECORDS to this new name? YesNo Such as birth certificates and related documents. Mailing Address What is the Petitioner's mailing address? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code This should be the Petitioner's place of residence. Petitioner's Contact Details Petitioner's Phone Number Required by the court. What is the Petitioner's E-Mail Address? Required by the court. Petitioner's Birthplace What is the full name on the Petitioner's Birth Certificate? First, middle, last What was Petitioner's Date of Birth? What was the County and State where the Petitioner was born? For example, "Maricopa county, Arizona" What was the City/Town were you born? City of For example, "Buckeye" Reason for Change What is the REASON for the name change? For example, gender change, personal reasons, etc. Filing Office Where is this Petition being filed? SelectApacheCochiseCoconinoGilaGrahamGreenleeLa PazMaricopaNavajoPimaPinalSanta CruzYavapaiYumaCounty Prior Marriages Have you ever been married? Have you ever been married? YesNo What was your Marriage Start Date? For multiple marriages, enter the date of the FIRST marriage. What was your Marriage End Date? What was your Full Name during the 1st marriage? First, middle, last Add a 2nd marriage? Add a 2nd marriage? YesNo If you have been married at least twice, select 'Yes' 2nd Marriage - Start Date 2nd Marriage - End Date What was your Full Name during the 2nd marriage? First, middle, last Add a 3rd marriage? Add a 3rd marriage? YesNo 3rd Marriage - Start Date 3rd Marriage - End Date What was your Full Name during the 3rd marriage? First, middle, last Add a 4th marriage? Add a 4th marriage? YesNo 4th Marriage - Start Date 4th Marriage - End Date What was your Full Name during the 4th marriage? First, middle, last Add a 5th marriage? Add a 5th marriage? YesNo 5th Marriage - Start Date 5th Marriage - End Date What was your Full Name during the 5th marriage? First, middle, last Previous Names Does your CURRENT NAME come from a past marriage? or from a previous spouse? Does your CURRENT NAME come from a past marriage? or from a previous spouse? YesNo Which spouse is your current last name from? Which spouse is your current last name from? Current SpousePrevious Spouse Alias Has your name ever been changed for Non-Marital reasons? Has your name ever been changed for Non-Marital reasons? YesNo If a person's name has been changed purely to have an alias. What was the Full Name of your alias? First, middle, last Alias - Start Date Enter the date when you started using this alias. Alias - End Date The last time you used the alias. Felony Convictions Have you ever been convicted of a Felony? Have you ever been convicted of a Felony? YesNo A felony is commonly known as higher than a misdemeanor and carries imprisonment of more than one year. What was the Felony Case Number? For multiple felonies, start with the earliest to the most current. In what County and State were you charged? For example "Maricopa county, Arizona" What was your Sentence? Explain the total imprisonment amount you received. Add an additional Felony? Add an additional Felony? YesNo What was the Felony Case Number2? What County and State were you sentenced? What was your Sentence2? Add an additional Felony? Add an additional Felony? YesNo What was your Felony Case Number3? What County & State were you sentenced3? What was your sentence3? Add an additional Felony? Add an additional Felony? YesNo What was your Felony Case Number4? What County & State were you sentenced4? What was your Sentence4? Add an additional Felony? Add an additional Felony? YesNo What was your Felony Case Number5? What County & State were you sentenced? What was your Sentence5? Informing the Court Is there anything regarding your felony conviction(s) that you would like to bring to the Court's attention? Is there anything regarding your felony conviction(s) that you would like to bring to the Court's attention? YesNo For example, if damages are still being paid from a previous conviction. Explain what the Court should be aware of: Pending Charges Are there any PENDING criminal charges against you at this time? Are there any PENDING criminal charges against you at this time? YesNo If 'Yes', it may impair your ability to change your name. Describe the PENDING CHARGES: It is required to include the NAME (of the charge), COURT (City and State), and the CASE NUMBER. Is there anything regarding your pending criminal charges that you would like to bring to the Court's attention? Is there anything regarding your pending criminal charges that you would like to bring to the Court's attention? YesNo Explain what the Court should be aware of: Notarization Do you understand that this Petition must be NOTARIZED? Do you understand that this Petition must be NOTARIZED? I understand A name change petition must be notarized for it to be accepted by the court. Next Save Save and finish later
