Name Change Form

California Name Change Package

This package is for use after you have changed your name to notify companies, government organizations and others of the change. This package is for persons who have changed their name by marriage, divorce, or court order.

Includes instructions and forms for changing your records, including Social Security Card, Driver’s License and Vehicle Title, Passport, Post Office, IRS and State Tax Commission, Banks, Credit Cards, Doctors, Insurance Companies, Clubs, Organizations and other like entities, Employer, Will, Contracts and Retirement plans, as well as others.

Disclaimer: If you have a serious legal problem, you are advised to seek the advice of an attorney.

Table of Contents

Social Security Card

Passport Change of Name

U.S. Passport Office Authorization Form

Post Office Change of Name

Notice of Name Change for Clubs, Organizations, Etc.

Notice of Name Change for Banks and Other Financial Institutions

Notice of Name Change for Internal Revenue Service and State Tax Commission

Notice of Name Change for Utilities-Electric, Phone, Gas, Etc.

Notice of Name Change for Employer

Voter Registration

Notice of Name Change for Landlord

Notice of Name Change for Insurance Companies

Notice of Name Change for Doctors

Department of Motor Vehicles Change of Name on Driver’s License

Will, Trust, Power of Attorney, Living Will, Health Care Proxy, etc.

Notice of Name Change for Will, Trust, Power of Attorney, Living Will, Health Care Proxy, etc.

Social Security Card

You may obtain a new social security card as a replacement by using official form SS-5. You may also change your name on your card by using the same official form. The card number will remain the same.

To get a replacement card, you usually need one identifying document. Some documents that Social Security Offices may accept as proof of identity are: driver’s license, marriage or divorce record, military records, employer ID card, adoption record, insurance policy, passport, health insurance card, or school ID card.

For a name change on your card, you need documentation that shows your old name and your new name.

Where to Send the Form: Take or mail the SS-5 to the nearest Social Security office with originals or certified copies of your supporting documents.

Passport Change of Name

The form required is form DS-5504, to be used within one year of passport issuance for name-changes, other information changes and extension of limited passports. If more than one year has passed, you must apply for a new passport.

This form is for applicants who need to change printed information in a passport, extend the validity of a limited passport, or add additional visa pages.

U.S. Passport Office Authorization Form

To Whom It May Concern:

I, , do hereby authorize or any other agent from to receive my passport or discuss the status of my application with a member of the Passport Office Staff.

Post Office Change of Name

You are not required to change your name at a post office. However, it is important to do a change of address if you also have a new address.

You may complete a form online and submit it to the post office. You may also include your new name on the change of address form.

Notice of Name Change for Clubs, Organizations, Etc.

To:

Date:

Address:

City / State / Zip:

ID Number, if applicable:

From (new name):

Current Address:

Social Security Number:

My Former Name:

My Present (New) Name:

The reason for the name change:

Marriage

Divorce and resumption of my maiden name.

Name Change Court Order not connected with divorce.

Other:

Notice of Name Change for Banks and Other Financial Institutions

To:

Account or Loan Number:

From (new name):

My address above:

is is not a new address.

Notice of Name Change for Internal Revenue Service and State Tax Commission

To:

Account Number:

Notice of Name Change for Utilities-Electric, Phone, Gas, Etc.

Account Number, if known:

Notice of Name Change for Employer

To Employer:

Voter Registration

This section provides general voter registration guidance and state-specific information for California.

California recognizes the National Voter Registration Form and allows changes at the Department of Motor Vehicles and by mail.

Notice of Name Change for Landlord

To Landlord:

Address of Premises Leased:

Notice of Name Change for Insurance Companies

To Insurance Company:

Policy Number:

Plan Number, if applicable:

Notice of Name Change for Doctors

To: Dr.

Patient ID if known:

Department of Motor Vehicles Change of Name on Driver’s License

To change your name on your driver’s license, you will need to complete state specific forms usually provided from the Department of Motor Vehicles.

California DMV information: Visit a DMV office or make an appointment; complete an original application form DL 44 with the new information; provide evidence of the new name; give a thumb print; have a picture taken; and pay the application fee.

Phone number: 1-415-557-1179

Will, Trust, Power of Attorney, Living Will, Health Care Proxy, etc.

Whether you changed your name by marriage, divorce or otherwise you will want to update or change your Will, Trusts, Power of Attorney, Living Will, Health Care Proxy and other legal documents.

This package contains forms to amend legal documents to reflect your name change, as evidence of the change. These forms do not change the legal content of any of those legal documents.

Notice of Name Change for Will, Trust, Power of Attorney, Living Will, Health Care Proxy, etc.

NOTICE is hereby provided that has changed his/her name to due to marriage, divorce, Court Order, or Other: .

The change is effective as of the day of , .

Title of Document:

Date of Document:

Subject Matter of Document:

Notary, If Required

State of California

County of

On before me, , personally appeared , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies).

WITNESS my hand and official seal.

Signature (Seal)