LSC-CIV-050Local

Name Change - Criminal History Assessment

Lassen Superior Court · Local Forms

Verified current as of July 28, 2026

This form is used to assess whether someone with a criminal history can legally change their name through the court system. Someone who has been convicted of a crime would need to complete this form to show the judge why they should be allowed to change their name despite their criminal record.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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