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, please check your email regularly for a proof of your printed name change. Once you receive a proof of your printed name change, please review the proof and inform us of any mistakes by the deadline specified in the email. If we are not notified of any changes by the specified deadline, the proof will be sent to print as is.
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.