NC 200 PETITION FOR CHANGE OF NAME AND GENDER NC200
User Manual: NC200
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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.
is a resident of this county.
Petitioner requests a decree that the petitioner’s gender is changed:
a.
b.
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.)
Petitioner requests that the court order that a new birth certificate be issued reflecting the gender and name changes sought by
this petition.
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.
Petitioner provides the following information in support of this petition:
a. The information contained in the physician’s affidavit or declaration.
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)).
Page 1 of 2
PETITION FOR CHANGE OF NAME
AND GENDER
Form Adopted for Mandatory Use
Judicial Council of California
NC-200 [Rev. July 1, 2014]
Code of Civil Procedure, § 1275 et seq.;
Health and Safety Code, §§ 103430, 103435
www.courts.ca.gov
1.
3.
4.
5.
6.
7.
b–f.
(Instructions on next page)
Petitioner (present name):
from female to male.
from male to female.
2.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITION OF (Name):
CASE NUMBER:
PETITION FOR CHANGE OF NAME AND GENDER
NC-200
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO:
TELEPHONE NO.: FAX NO. :
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
Petitioner requests that the court decree that petitioner’s name is changed to (proposed name):
INSTRUCTIONS FOR FILING A PETITION FOR CHANGE OF NAME AND GENDER
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.
1.
2. Whose Name May Be Changed
The petition may be used to change one's name and gender.
3.
Petition for Change of Name and Gender (form NC-200)
Order to Show Cause for Change of Name (form NC-220)
Decree Changing Name and Gender (form NC-230)
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.
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:
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] Page 2 of 2
What Forms Are Required
You need an original and two copies of each of the following documents:
a.
b. Name and Information About the Person Whose Name Is to Be Changed (Attachment to Petition) (form NC-110)
c.
d.
e.
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.
9.
PETITION FOR CHANGE OF NAME
AND GENDER
Declaration of Physician (form NC-210) (signed by the physician and attached to form NC-200)
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
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