MAD-INT-001LocalFillable

Petition for Change of Name Under CA Safe at Home Program

Madera Superior Court · Madera Superior Court Form Packets

This form was updated 29 days ago — make sure you're using the latest version.

Last updated July 3, 2026

This form is used by people who want to legally change their name while keeping their new address private from the public for safety reasons. Someone would need this form if they are fleeing domestic violence, stalking, sexual assault, or human trafficking and want court protection to hide their whereabouts.

This form has fillable fields — you can complete it directly in the viewer on the right.
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