Attorney Change Of Name {HID 003}

HID 003 (Rev. 10/10) Attorney Change of Name UNITED STATES DISTRICT COURT DISTRICT OF HAWAII ATTORNEY CHANGE OF NAME You have filed a pleading in a pending civil, criminal or miscellaneous case showing a different name from that on your Attorney Admission record. The court cannot change its database without legal verification of name change in the form of a marriage certificate, divorce decree, court order or order from the Lt. Governor's office. Please complete this form and return with verification. To maintain accuracy of the court's database, your prompt attention to this matter is appreciated. Please PRINT your new name: Last Business Address: First Middle Business Phone: Name as it currently appears on U.S. District Court attorney admission records: Last Hawaii Attorney Identification Number: Admission date to the U.S. District, District of Hawaii: ATTACHED IS A COPY OF MY: Marriage Certificate Divorce Decree Court Order First Middle Order from Lt. Governor's Office I certify that the information on this form is true and that the Attachment is a true copy of the original. I request that the court change its admission records to my new name. Signature Please return all forms to: Office of the Clerk U.S. District Court 300 Ala Moana Blvd., Room C-338 Honolulu, Hawaii 96850 or you may FAX to: 808-541-1303 Date American LegalNet, Inc. www.FormsWorkFlow.com