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 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 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?
*
Please Select
Albany
Allegany
Bronx
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenago
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
Essex
Franklin
Fulton
Genesee
Greene
Hamilton
Herkimer
Jefferson
Kings
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
New York
Niagara
Oneida
Onondaga
Ontario
Orange
Orleans
Oswego
Otsego
Putnam
Queens
Rensselaer
Richmond
Rockland
Saint Lawrence
Saratoga
Schenectady
Schoharie
Schuyler
Seneca
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
Your Home Street Address
*
Example: 102 Howard Ave. Unit# B
Date Of Birth
*
-
Month
-
Day
Year
Date
Enter your age?
How old are you in years?
Place of Birth
Enter both city and state; example: Albany, NY
Marital Status
*
Please Select
Single
Married
Divorced
Do you have a bankruptcy judgment against you?
Please Select
I do not
I do
Do you have child support payments?
Please Select
I do not
I do
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
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: