Name Change Petition - Connecticut
Before you use this: This is an adult petition for filing in Probate Court. The Court publishes PC-901 for this purpose; ask the filing court whether it accepts a separately drafted petition. The Court's PC-901 instructions call for supporting documents, including PC-910 and confidential PC-901CI. If you must register as a sex offender or a deadly weapon offender, § 45a-99(b) requires additional notice and a sworn statement before the Court may allow the change.
PETITION FOR CHANGE OF NAME (ADULT)
CONNECTICUT PROBATE COURT — [________________] Probate District
District number (if known): [________________] Case number (if assigned): [________________]
| Party | Role |
|---|---|
| [CURRENT FULL LEGAL NAME] | Petitioner |
Petitioner requests a decree changing Petitioner's name under Conn. Gen. Stat. § 45a-99 and states:
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I am at least 18 years old and reside at [STREET ADDRESS, CITY, STATE, ZIP: ______________________________________________________________], within this probate district.
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My current full legal name is [FIRST: ____________] [MIDDLE: ____________] [LAST: ____________]. My name on my birth certificate, if different, is [________________________________________________].
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I ask to change my name to [FIRST: ____________] [MIDDLE: ____________] [LAST: ____________].
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My date of birth is [__/__/____] and place of birth is [CITY, STATE OR COUNTRY: ________________________________________________].
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I request this change for the following reasons: [____________________________________________________________].
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I am seeking this change for the reasons stated above, not to deceive, defraud, or mislead anyone or any government agency, or to avoid the legal consequences of a criminal conviction.
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Spouse: ☐ I am not married. ☐ I am married to [SPOUSE'S NAME: ________________________________], whose address and telephone number are [____________________________________________________________]. ☐ I request that the Court excuse notice to my spouse because such notice might jeopardize my safety; supporting facts are [____________________________________________________________].
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Registration status: ☐ I am not required to register as a sex offender or as an offender convicted of a crime with a deadly weapon. ☐ I am required to register and have completed the prefiling Commissioner notice required by § 45a-99(b)(1); the required sworn statement and proof of notice are attached as [EXHIBITS: ________________________________].
REQUEST FOR RELIEF
I ask the Court to decree that my name is changed from [CURRENT FULL LEGAL NAME] to [PROPOSED FULL LEGAL NAME] and to grant other appropriate relief.
I make the representations in this petition under penalty of false statement.
Petitioner's signature: [________________________________] Date: [__/__/____]
Printed name: [________________________________]
Mailing address: [____________________________________________________________]
Telephone: [________________] Email: [________________________________]
Documents to submit with the petition
The Probate Court's PC-901 instructions call for PC-910 (the separate sworn affidavit), a certified long-form birth certificate, two forms of identification with at least one photo ID, and confidential sheet PC-901CI for the Social Security number. Do not place the Social Security number on this public petition. Confirm current filing and notice instructions with the probate district.
Sources and References
About this template
- Last updated
- October 20, 2026
- Citations checked
- October 20, 2026
- Jurisdiction
- Connecticut
- Category
- Family Law
Legal authority
- Conn. Gen. Stat. § 45a-99
- Conn. Gen. Stat. § 52-11
Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on October 20, 2026.
Conn. Gen. Stat. § 45a-99(a) (checked October 20, 2026): "The courts of probate shall have concurrent jurisdiction with the Superior Court, as provided in section 52-11, to grant a change of name"
Conn. Gen. Stat. § 45a-99(b)(1) (checked October 20, 2026): "prior to filing such application, notify the Commissioner of Emergency Services and Public Protection, on such form as the commissioner may prescribe, that the person intends to file an application for a change of name, indicating the change of name sought, and (B) include with such application a sworn statement that such change of name is not being sought for the purpose of avoiding the legal consequences of a criminal conviction"
Conn. Gen. Stat. § 52-11(a) (checked October 20, 2026): "The superior court in each judicial district shall have jurisdiction of complaints praying for a change of name, brought by any person residing in the judicial district"
Connecticut Probate Courts, PC-901, Petition for Change of Name (Adult) (checked October 20, 2026): "An individual 18 years of age or older may use this form to petition for a change of his or her name."
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