NJ Name Change Form
Please fill out all the fields below so we may begin working on your case. After you click submit you will be given a chance to review all the inputs. Please make sure the information is correct. Incorrect information will cause the name change petition to get rejected and it will delay the process.
Your Current Full Legal Name
*
First Name
Middle Name (if applicable)
Last Name
Your New Name
*
First Name
Middle Name (if applicable)
Last Name
Email (we will send documents for you to sign digitally here)
*
example@example.com
What County Do You Live In?
*
Please Select
Atlantic County
Bergen County
Burlington County
Camden County
Cape May County
Cumberland County
Essex County
Gloucester County
Hudson County
Hunterdon County
Mercer County
Middlesex County
Monmouth County
Morris County
Ocean County
Passaic County
Salem County
Somerset County
Sussex County
Union County
Warren County
What City Do You Live In?
*
Example: Bloomfield
Your Home Street Address
*
Example: 102 Howard Ave. Unit# B
Date Of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Please Select
Single
Married
Divorced
I hereby make this name change application because...
*
For example, I want my mother's last name instead of my father's last name, to honor her memory.
Please enter at least 1 or 2 sentences about why you are applying for this name change application.
Your Social Security Number
*
Example: 139-91-5152
Today's Date
*
-
Month
-
Day
Year
Date
What City and State Were You Born In?
Example: Bloomfield, NJ
Submit
Should be Empty: