Amendment of Birth Record Court Order Name Change
This file is an application to amend a birth record to reflect a court order change of name. It includes detailed instructions on how to fill out the form accurately to ensure proper processing. Utilize this document for legitimate name changes as per court order.
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How do I fill this out?
Filling out this form requires careful attention to detail. Ensure that all information matches the current records exactly. Read through the instructions thoroughly before beginning the process.

How to fill out the Amendment of Birth Record Court Order Name Change?
1
Start by providing the individual's current name and birth information.
2
Enter the details from the court order, including the new name.
3
Make sure to provide your signature and contact information.
4
Submit the form along with the required filing fee.
5
Wait for confirmation of your amendment from the vital records office.
Who needs the Amendment of Birth Record Court Order Name Change?
1
Individuals whose names have been changed by court order need this form for documentation.
2
Parents seeking to update a child's birth record require this amendment.
3
Legal guardians making changes to their ward's birth records will find this necessary.
4
Adoptive parents updating the adopted child’s name must complete this form.
5
Individuals dealing with legal name changes for transition purposes will need this form.
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What are the instructions for submitting this form?
To submit this form, mail it along with the required fees to the California Department of Public Health. For any inquiries regarding submission, contact the vital records office directly. Make sure all paperwork is complete to avoid delays in processing.
What are the important dates for this form in 2024 and 2025?
For 2024, ensure your application is submitted by October 31 to avoid delays. In 2025, plan to submit any amendments by September 30 to accommodate processing times. Always check with the local registrar for current deadlines.

What is the purpose of this form?
The primary purpose of this form is to legally document a change of name on a birth record as ordered by a court. It serves to update any official records to reflect the individual's true identity post-court order. Completing this amendment is crucial for future legal processes and identification verification.

Tell me about this form and its components and fields line-by-line.

- 1. Name Information: Includes the individual's first, middle, and last name.
- 2. Court Order Details: Requires the court's name, the case number, and the date of order.
- 3. Applicant Information: Collects the applicant's name, address, and contact details.
- 4. Signature: Must be signed by the applicant certifying the information provided is accurate.
What happens if I fail to submit this form?
Failure to submit this form correctly can result in delays in updating your records. It's crucial to ensure all sections are completed accurately to avoid processing issues.
- Incorrect Information: Submitting incorrect information may lead to rejection of your application.
- Missing Signature: Failure to sign the form will cause delays; no processing can occur without a signature.
- Incomplete Form: Leaving sections blank may also lead to rejection, so ensure every part is filled.
How do I know when to use this form?

- 1. Legal Name Change: Individuals legally changing their name through the court must use this form.
- 2. Child's Name Update: Parents updating their child’s birth records post-adoption or legal name change.
- 3. Record Correction: For anyone needing to correct their birth record due to a court ruling.
Frequently Asked Questions
What is the purpose of this form?
This form is used to amend a birth record to reflect a court-ordered name change.
How do I fill out the amendment form?
Begin by entering your information as it appears on the current record before adding court order details.
Where do I submit the completed form?
Send your completed form to the California Department of Public Health, Vital Records.
Can I edit the PDF before submission?
Yes, you can edit the form using PrintFriendly's editing feature.
Is a fee required for filing the amendment?
Yes, a fee is necessary to file this amendment along with the form.
Do I need to provide a certified copy of the court order?
Yes, include a certified copy of the court order with your application.
Will I receive a confirmation after submitting the form?
Yes, you will receive confirmation once your amendment is processed.
Can this form be filed online?
Currently, this form must be printed and mailed to the appropriate office.
How long does the amendment process take?
Processing times may vary, so it’s best to inquire with the vital records office.
Are there any restrictions on using this form?
Ensure all information is accurate and matches official documentation.
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