NY -Name Change Form

NY 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 NameMiddle Name (if applicable)Last Name
Your New Name*

First NameMiddle Name (if applicable)Last Name
Email (we will send documents for you to sign digitally here)*
example@example.com
What City & State Do You Currently Live In?*
Enter both city and state; example: Albany, NY
How Many Years Have You Lived In The City Above?
Only input numbers - Example: 10
What County Do You Currently Live In?*
Your Home Street Address*
Example: 102 Howard Ave. Unit# B
Date Of Birth*

MonthDayYear
Date
Enter your age?
How old are you in years?
Place of Birth
Enter both city and state; example: Albany, NY
Marital Status*
Do you have a bankruptcy judgment against you?
Do you have child support payments?
Child support output
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.
Today's Date*

MonthDayYear
Date
Should be Empty:

NY Name Change Form