Name Change Petition

IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT FORM

Arizona requires the use of official court form CVNC11F (Application for Change of Name)
for name change petitions filed in Superior Court. This template provides the substantive
legal content to help you prepare — but you must transfer your content to the official form
before filing. The official form is available at
azcourts.gov. Do not file this document directly with the court.

APPLICATION FOR CHANGE OF NAME

Table of Contents

1. Caption
2. Petitioner Information
3. Current and Proposed Name
4. Residency Verification
5. Grounds for Name Change
6. Criminal History Disclosure
7. Publication and Notice
8. Notice to Interested Parties
9. Declaration and Verification
10. Order Granting Name Change
11. State-Specific Notes

Caption

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA
IN AND FOR THE COUNTY OF [________________________________]

In the Matter of the Application of:

[________________________________]
(Current Legal Name of Applicant)

For Change of Name to:

[________________________________]
(Proposed New Name)

Case No.: [________________________________]

APPLICATION FOR CHANGE OF NAME

COMES NOW the Applicant, [________________________________], and respectfully applies to this Honorable Court pursuant to Arizona Revised Statutes § 12-601 for a Judgment changing Applicant's legal name, and in support thereof states as follows:

Petitioner Information

1. Full Current Legal Name: [________________________________]

2. Proposed New Legal Name: [________________________________]

3. Date of Birth: [__/__/____]

4. Place of Birth (City, State/Country): [________________________________]

5. Social Security Number (last four digits): XXX-XX-[____]

6. Current Mailing Address:
   [________________________________]
   [________________________________]
   [________________________________]

7. Telephone Number: [________________________________]

8. Email Address: [________________________________]

9. Driver's License / State ID Number: [________________________________]

Residency Verification

10. Applicant is a resident of [________________________________] County, Arizona.

11. Applicant resides at the address stated above within the jurisdiction of this Court.

Grounds for Name Change

12. Applicant seeks to change their legal name for the following reason(s):

☐ Marriage or civil union
☐ Divorce or dissolution of marriage
☐ Personal preference
☐ Gender identity
☐ Return to maiden or former name
☐ Religious or cultural reasons
☐ Other: [________________________________]

13. Detailed explanation of reasons for the requested name change:

[________________________________]
[________________________________]
[________________________________]

14. This Application is made solely for the best interest of the Applicant.

15. Applicant acknowledges that the change of name will not operate to release the Applicant from any obligations incurred under the present name, nor will it destroy or harm any rights of property or of action held in the present name.

Criminal History Disclosure

16. Petitioner discloses the following regarding criminal history:

☐ Applicant does NOT have any pending felony charges.
☐ Applicant DOES have pending felony charges. Details: [________________________________]

17. Prior Felony Convictions:

☐ Applicant has NOT been convicted of a felony offense.
☐ Applicant HAS been convicted of a felony offense. Details: [________________________________]

18. Sex Offender Registry Status:

☐ Applicant is NOT required to register as a sex offender under Arizona law or the law of any other jurisdiction.
☐ Applicant IS required to register as a sex offender. Details: [________________________________]

19. Identity Fraud Disclosure:

☐ Applicant is NOT knowingly changing their name to that of another individual for the purpose of committing or furthering any offense involving false statements.

Publication and Notice

20. Applicant acknowledges that the Court has discretion under ARS 12-601 to order that notice of this Application be given by publication in a local newspaper or by service upon any interested party.

☐ Applicant requests that the Court waive the publication requirement.
☐ Applicant requests that the Court order publication as it deems proper.

21. If publication is ordered, preferred newspaper: [________________________________]

Notice to Interested Parties

22. Applicant states that the following persons may have an interest in this proceeding:

☐ There are no interested parties who need to be notified.

Declaration and Verification

I, [________________________________], the Applicant herein, being duly sworn, depose and state that I have read the foregoing Application and that the statements contained herein are true and correct to the best of my knowledge, information, and belief.

I make this Application solely for my best interest and acknowledge that any change of name granted will not release me from any obligations incurred under my present name, nor will it destroy or harm any rights of property or of action held in my present name.

Applicant's Signature: ____________________________________

Date: [__/__/____]

STATE OF ARIZONA
COUNTY OF [________________________________]

Subscribed and sworn to before me this [____] day of [________________], [____].

Notary Public Signature: ____________________________________
Printed Name: [________________________________]
My Commission Expires: [__/__/____]

[NOTARY SEAL]

Order Granting Name Change

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA
IN AND FOR THE COUNTY OF [________________________________]

In the Matter of the Application of:
[________________________________]
For Change of Name to:
[________________________________]

Case No.: [________________________________]

JUDGMENT GRANTING CHANGE OF NAME

This matter having come before the Court upon the verified Application of [________________________________] for a change of name pursuant to ARS § 12-601, and the Court having reviewed the Application, considered the evidence presented, and being fully advised;

THE COURT FINDS THAT:

1. The Applicant resides in [________________________________] County, Arizona.

2. There are reasonable grounds for the requested change of name.

3. The requested name change is consistent with the public interest.

4. No disqualifying criminal charges or convictions exist.

5. Notice requirements, if any, have been satisfied.

IT IS THEREFORE ORDERED AND ADJUDGED that the name of the Applicant is hereby changed from [________________________________] to [________________________________], effective as of the date of this Judgment.

IT IS FURTHER ORDERED that the Applicant may use the new name in all legal and official documents, records, and transactions.

☐ IT IS FURTHER ORDERED that this record shall be sealed pursuant to ARS § 12-601(F).

DONE AND ORDERED this [____] day of [________________], [____].

____________________________________
Superior Court Judge
[________________________________] County, Arizona

State-Specific Notes

Arizona Name Change Key Points

• Court: Superior Court of the county where the applicant resides.
• Statutory Authority: ARS § 12-601 and § 12-602.
• Terminology: Arizona uses "Application" rather than "Petition."
• Residency Requirement: Must reside in the county of filing; no specific minimum duration.
• Publication: Not required by default; the court has discretion to order publication or service on interested parties.
• Filing Fee: Varies by county (typically $250-$350); contact the Clerk of the Superior Court.
• Sex Offender Restriction: Registered sex offenders may face additional restrictions.
• Felony Restriction: The court SHALL deny the application if certain felony charges are pending.
• Identity Fraud: The court will deny an application if the name change is intended to facilitate false statements or identity fraud.
• Sealed Records: Under ARS § 12-601(F), the court may seal the record upon a showing of good cause (e.g., safety concerns, domestic violence, gender identity).
• Minor Name Changes: Require consent of both parents or compliance with ARS § 12-602; both parents must be served.
• No Hearing Required (in some cases): If no objection is filed and the court is satisfied with the application, the name change may be granted without a hearing.

Sources and References

• ARS § 12-601 — Application; Venue; Judgment; Sealing of Record
• Maricopa County Superior Court — Name Change Forms
• Arizona Name Change Requirements