Declaration re: Change of Name
Mendocino Superior Court · Local Forms
⚠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 someone who wants to legally change their name and needs to provide a sworn statement to the court explaining their reasons for the change. Anyone in Mendocino County seeking a court-approved name change—whether an adult, minor, or parent on behalf of a child—would file this form as part of their name change petition.
This form must be printed and filled by hand, or opened in Adobe Acrobat.