California > Judicial Council > Name Change

Petition For Change Of Gender And Issuance Of New Birth Certificate NC-300 - California

Petition For Change Of Gender And Issuance Of New Birth Certificate Form. This is a California form and can be used in Name Change Judicial Council .
 Fillable pdf Last Modified 6/30/2014
Get this form for FREE as a print-only pdf

NC-300 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): STATE BAR NO: NAME: FIRM NAME: STREET ADDRESS: CITY: TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (Name): STATE: FAX NO. : ZIP CODE: SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITION OF (Name): PETITION FOR CHANGE OF GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE CASE NUMBER: Before you complete this petition, you should read the instructions on the next page. Note that you do not need to file this petition or obtain a court order in order for the State Registrar to issue a new birth certificate reflecting a change of gender. See Health and Safety Code section 103426. 1. Petitioner (name): certificate reflecting the change of petitioner's gender a. b. from male to female. from female to male. requests an order for the issuance of a new birth 2. A declaration by a physician documenting the gender change through clinically appropriate treatment as provided under Health and Safety Code sections 103425 and 103430 is filed with this petition. (Attach a copy of Declaration of Physician--Attachment to Petition (form NC-310).) has not 3. Petitioner has already obtained a decree of change of name. (If petitioner has obtained a decree of change of name, attach a certified copy of the decree to this petition.) 4. Petitioner requests that the court issue an order setting a hearing on this petition at which the court may examine petitioner and any other person having knowledge of facts relevant to the petition. I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE OR PRINT NAME OF PETITIONER) (SIGNATURE OF PETITIONER Page 1 of 2 Form Approved for Optional Use Judicial Council of California NC-300 [Rev. July 1, 2014] PETITION FOR CHANGE OF GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE Health and Safety Code, §§ 103425, 103430, 103435, 103440 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR FILING PETITION FOR CHANGE OF GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE (This instruction page is for the information of petitioner seeking a court order. It is not part of the petition and does not need to be filed.) 1. Where to File The petition for a court order for the issuance of a new birth certificate reflecting a change in gender may be filed in the superior court of any county in California. Note that you do not need to file this petition or obtain a court order in order for the State Registrar to issue a new birth certificate reflecting a change of gender. See Health and Safety Code section 103426. You may make the request directly to the State Registrar at the California Department of Public Health. (See contact information below.) 2. What Forms Are Required You will need an original and a copy of each of the following documents: a. Petition for Change of Gender and Issuance of New Birth Certificate (form NC-300) b. Declaration of Physician--Attachment to Petition (form NC-310) (signed by the physician and attached to form NC-300) c. Setting of Hearing on Petition for Change of Gender and Issuance of New Birth Certificate (form NC-320) d. Order for Change of Gender and Issuance of New Birth Certificate (form NC-330) In addition, if you have already obtained a decree of change of name, attach a certified copy of the decree to the petition. 3. 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 a filed-endorsed copy 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 Superior Court Fees and Costs (form FW-001­INFO).) 4. Requesting a Court Hearing Date You should request a date for the hearing on the Setting of Hearing on Petition for Change of Gender and Issuance of New Birth Certificate (form NC-320) from the court clerk. Take the completed form NC-320 to the clerk's office. The clerk will provide the hearing date and location, file the original, and give you a copy. 5. Court Hearing Bring copies of all documents to the hearing. If the judge grants the petition, the judge will sign the Order for Change of Gender and Issuance of New Birth Certificate (form NC-330). 6. New 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 State Registrar and pay the applicable fees. You may write or contact the State Registrar at: 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 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 these petitions and the times when petitions are heard. NC-300 [Rev. July 1, 2014] PETITION FOR CHANGE OF GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE Page 2 of 2
Link/Embed this Document
URL
Embed


Popular Searches

  1. Guardianship
  2. notice
  3. proof of service
  4. child custody
  5. divorce
  6. affidavit of service
  7. complaint
  8. power of attorney
  9. JUDGMENT
  10. answer

Bookmark and Share