Type of Name Change

Who is the name change for?

If this is for Minor Name Change, please skip and go to Minor Child Information.

Select an option Adult (self) Minor child

Reason for name change

Select an option Marriage Divorce Personal preference Gender Other

If other, please explain

Current Legal Name

Current First Name

Current Middle Name

Current Last Name

Proposed New Name

New First Name

New Middle Name

New Last Name

Personal Details

Date of Birth

Place of Birth

City, State, Country

State-Issued ID or Driver's License Number

Are you a U.S. Citizen?

Yes

No

Social Security Number (Full digits)

Criminal History

Have you ever been convicted of a felony?

Yes

No

Are you currently on probation or parole?

Yes

No

Are you a registered sex offender?

Yes

No

If yes to any above, please provide details

Minor Child Information (if applicable)

Child's Current Full Legal Name

Child's Proposed New Name

Child's Date of Birth

Mother's Full Name

Your relationship to the child

Select an option Mother Father Legal Guardian

Mother's Address

Other parent's full name

Other parent's address

Does the other parent consent to the name change?

Select an option Yes No

Are both parents deceased?

Yes

No

Court Filing Details

County where you reside

How long have you lived in this county

Have you previously filed a name change petition?

Yes

No

If yes, provide case number and county

Fee Waiver Eligibility

Do you want to request a fee waiver?

Yes

No

Are you currently receiving public benefits?

Yes

No

Which benefits?

Medi-CalFood Stamps/Calfresh/SNAPSSISSPIncome below poverty limit

Monthly household income (before taxes)

Number of people in household

Are you unable to pay for basic needs (food, shelter, clothing)?

Yes

No

Document Upload

Upload copy of current government-issued ID

Add attachment

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Upload any supporting documents (divorce decree, birth certificate, etc.)

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Acknowledgment

I understand TruPoint Legal LLC is a Legal Document Assistant and does not provide legal advice or representation.

Yes

No

I certify that all information provided is true and correct.

Yes

No

As required by California law. Please read each statement below and confirm you have read and understand it. If you have questions about any statement, contact our office before continuing.

I have read and understand that TruPoint Legal LLC is not an attorney and cannot practice law.

Yes

No

I have read and understand that TruPoint Legal LLC is not a law firm.

Yes

No

I have read and understand that TruPoint Legal LLC cannot represent me in court

Yes

No

I have read and understand that TruPoint Legal LLC cannot advise me about my legal rights or the law.

Yes

No

I have read and understand that TruPoint Legal LLC cannot select legal forms for me.

Yes

No

FEES AND EXPENSES

I choose the following service.

Select an option Name Change Petition $500

Court fees

Select an option Court filing fee $450

Newspaper Publication

Select an option $90-$300 depending on County. We will contact the journal for the publication cost.

Would you like to TruPoint Legal E-file the petition?

Select an option Yes, please add $30 No, I will file it

I acknowledged:

Yes

No

PAYMENT

IMPORTANT- Please read carefully:

Your typed-name electronic signature applies ONLY to this questionnaire and the TruPoint service agreement.

CLIENT ELECTRONIC SIGNATURE

Type Your Full Legal Name

Date

Print Name:

Email Address (where signed copy will be sent)

Co-Client Electronic Signature (if applicable)

Type Your Full Legal Name

By typing my full legal name below, I confirm that I have read and understand each statement above, and that this notice was provided to me before I signed any documents. This typed name is my electronic signature.

Date

Print Name:

Email Address (where signed copy will be sent)