LSC-CIV-050LocalFillable

Name Change - Criminal History Assessment

Lassen Superior Court · Local Forms

Verified current as of September 19, 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 has fillable fields — you can complete it directly in the viewer on the right.
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