NC 200 PETITION FOR CHANGE OF NAME AND GENDER NC200
User Manual: NC200
Open the PDF directly: View PDF 
.
Page Count: 2
| Download | |
| Open PDF In Browser | View PDF |
NC-200 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): STATE BAR NO: NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: TELEPHONE NO.: ZIP CODE: FAX NO. : E-MAIL ADDRESS: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITION OF (Name): CASE NUMBER: PETITION FOR CHANGE OF NAME AND GENDER Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name and Gender on the next page. You must answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the county where the person whose name is to be changed resides. 1. Petitioner (present name): is a resident of this county. 2. Petitioner requests that the court decree that petitioner’s name is changed to (proposed name): 3. Petitioner requests a decree that the petitioner’s gender is changed: a. from male to female. b. from female to male. 4. An affidavit or a declaration of a physician documenting the gender change through clinically appropriate treatment as provided under Health and Safety Code sections 103425 and 103430 is attached to this petition. (Declaration of Physician (form NC-210) may be used for this purpose.) 5. Petitioner requests that the court order that a new birth certificate be issued reflecting the gender and name changes sought by this petition. 6. Petitioner requests that the court issue an order directing all interested persons to appear and show cause why the petition for change of name should not be granted. 7. Petitioner provides the following information in support of this petition: a. The information contained in the physician’s affidavit or declaration. b–f. The information contained in the attachment (attach a completed copy of the attachment Name and Information About the Person Whose Name Is to Be Changed (form NC-110)). (Instructions on next page) Form Adopted for Mandatory Use Judicial Council of California NC-200 [Rev. July 1, 2014] PETITION FOR CHANGE OF NAME AND GENDER Page 1 of 2 Code of Civil Procedure, § 1275 et seq.; Health and Safety Code, §§ 103430, 103435 www.courts.ca.gov INSTRUCTIONS FOR FILING A PETITION FOR CHANGE OF NAME AND GENDER 1. Where to File The petition for change of name and gender must be filed in the superior court in the county where the petitioner presently lives. 2. Whose Name May Be Changed The petition may be used to change one's name and gender. 3. What Forms Are Required You need an original and two copies of each of the following documents: a. Petition for Change of Name and Gender (form NC-200) b. Name and Information About the Person Whose Name Is to Be Changed (Attachment to Petition) (form NC-110) c. Declaration of Physician (form NC-210) (signed by the physician and attached to form NC-200) d. Order to Show Cause for Change of Name (form NC-220) e. Decree Changing Name and Gender (form NC-230) 4. Filing and Filing Fee Prepare an original Civil Case Cover Sheet (form CM-010). File the original petition and Civil Case Cover Sheet with the clerk of the court and obtain two filed-endorsed copies of the petition. A filing fee will be charged unless you qualify for a fee waiver. (If you want to apply for a fee waiver, see Request to Waive Court Fees (form FW-001) and Information Sheet on Waiver of Court Fees and Costs (form FW-001–INFO).) 5. Requesting a Court Hearing Date You should request a date for the hearing on the Order to Show Cause at least six weeks in the future. 6. Filing the Order to Show Cause After the hearing date has been included and you have obtained a judge’s signature on the Order to Show Cause, file the original order in the clerk’s office and obtain filed-endorsed copies of the order. 7. Domestic Violence Confidentiality Program In cases where the petitioner is a participant in the state address confidentiality program (Safe at Home), the petition, the order to show cause, and the decree should, instead of giving the proposed name, indicate that the name is confidential and on file with the Secretary of State. See Information Sheet for Name Change Proceedings Under Address Confidentiality Program (Safe at Home) (form NC-400-INFO). 8. Court Hearing Bring copies of all documents to the hearing. If the judge grants the name and gender change petition, the judge will sign the original decree. 9. Birth Certificate To obtain a new birth certificate reflecting the change of gender, file a certified copy of the order within 30 days with the Secretary of State and the State Registrar and pay the applicable fees. You may write or contact the State Registrar at: California Department of Public Health Vital Records – MS 5103 P.O. Box 997410 Sacramento, CA 95899-7410 Phone: 916-445-2684 Website: www.cdph.ca.gov Local courts may supplement these instructions. Check with the court to determine whether supplemental information is available. For instance, the court may provide you with additional written information identifying the department that handles name and gender change petitions, and the times when petitions are heard. NC-200 [Rev. July 1, 2014] PETITION FOR CHANGE OF NAME AND GENDER For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form Page 2 of 2 Clear this form
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.7 Linearized : Yes Encryption : Standard V4.4 (128-bit) User Access : Print, Fill forms, Extract, Print high-res Author : Judicial Council of California Create Date : 2014:05:13 11:32:59-07:00 Keywords : Forms Modify Date : 2014:05:21 17:50:17-07:00 Has XFA : Yes Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 5.2-c001 63.139439, 2010/09/27-13:37:26 Creator Tool : Adobe LiveCycle Designer ES 9.0 Metadata Date : 2014:05:21 17:50:17-07:00 Producer : Adobe LiveCycle Designer ES 9.0 Format : application/pdf Subject : Forms Description : Judicial Council forms Creator : Judicial Council of California Title : NC-200 PETITION FOR CHANGE OF NAME AND GENDER Document ID : uuid:2a7310ab-1da6-4f3b-aa98-7b1e08ea5be1 Instance ID : uuid:2476af60-ee80-4ae0-b058-510b74fa200f State : 1 Version : 1.1 Version Ref : /template/subform[1] Page Count : 2 Signing Date : 2014:05:21 17:50:17-07:00 Signing Authority : ARE Acrobat Product v8.0 P23 0002337 Document Usage Rights : FullSave Form Usage Rights : Add, FillIn, Delete, SubmitStandalone Signature Usage Rights : ModifyEXIF Metadata provided by EXIF.tools