This form can only be submitted after a judge has completed and signed your name change documents. All information that is submitted on this form needs to exactly match your court documents. The Daily Record will not be held liable for mistakes or misprints based on the information submitted in this form.
Once this form has been submitted, your notice will take about 2-3 business days to appear in the Rochester Daily Record. Once your notice has appeared in the paper, your Affidavit of Publication will be sent to you by mail to address listed on this form.
Please note, in order to limit the amount of people in our offices, affidavits are currently being mailed out on a weekly basis.
This form cannot be submitted without payment. The fee to submit a name change is $40.
Please contact Alys Derby if you have any questions about submitting a name change.