Name Change Questionnaire — NewLeaf Document Services

Confidential — Current Clients Only

Name Change Questionnaire

Adult Name Change · Minor Name Change · NewLeaf Document Services

LDA #23-003 · Placer County · Registered & Bonded
Please complete before your appointment.
This questionnaire collects the information needed to prepare your name change petition. Please answer every question carefully and accurately — the information here will appear directly on your court documents.

This questionnaire is confidential and for current clients only.

NON-ATTORNEY DISCLOSURE: JoHanna C. Cody is a registered California Legal Document Assistant, not an attorney, and NewLeaf Document Services is not a law firm. I can prepare documents at your specific direction. I cannot give you legal advice, choose forms for you, tell you what to ask the court for, or predict how a judge will rule. Those choices belong to you. For legal advice, please consult a licensed California attorney.
1
Type of Name Change
2
Adult Name Change — Your Information
💡 Felony convictions are disclosed on the petition. JoHanna will go over this with you at your appointment.
⚠️ Additional steps apply in this situation. JoHanna will go over them with you at your appointment before preparing documents.
💡 Please give the court, case number, and outcome of the prior name change if you have it.
💡 There are options available in this situation. JoHanna will go over them with you at your appointment. Safe at Home program: (877) 322-5227.
2
Minor Name Change — Child & Parent Information

Child's Information

Petitioning Parent Information

Other Parent Information

⚠️ If the other parent objects, this may become contested and you may want to speak with a California family-law attorney. If the other parent cannot be located, additional steps apply. JoHanna will go over next steps with you at your appointment.
💡 Please upload a copy of the existing custody order using the upload field below.
3
Upload & Submit
💡 Upload existing custody orders, prior name change filings, or any other relevant documents.
💡 After filing, publication in a local newspaper applies to most name changes. JoHanna will coordinate this on your behalf. The newspaper fee (typically $50–$200) is paid directly to the newspaper — not to NewLeaf.
Something went wrong. Please try again or contact JoHanna at (916) 751-6498.
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🌿 Thank You — Questionnaire Received!

JoHanna will review your information before your appointment.

(916) 751-6498 — Call or text
newleafoffice.us@gmail.com

NewLeaf Document Services · LDA #23-003 · Not a Law Firm · Not an Attorney

NewLeaf Document Services · JoHanna C. Cody, LDA #23-003 · Placer County · Registered & Bonded
(916) 751-6498 · newleafoffice.us@gmail.com · NewleafDocumentServices.com
This questionnaire is confidential. Not a Law Firm. Not an Attorney.