Name Change Assistance Form
DISCLAIMER: DUE TO THE INFLUX OF REQUESTS WE RECEIVE ON DAILY BASIS, THERE IS A POSSIBILITY YOU MAY NOT HERE BACK FROM A LAWYER FOR AT LEAST 6 MONTHS 
PLEASE KEEP THAT IN MIND PRIOR TO COMPLETING THIS FORM. WE APOLOGIZE FOR ANY INCONVENIENCE, THANK YOU IN ADVANCE FOR YOUR PATIENCE AND UNDERSTANDING. 

Are you a trans person who needs help changing your name in New Jersey? Garden State Equality is here to help! Fill out this form and we'll be in touch soon.

Please note that this form does ask for some sensitive information. We ask for it only because the name change application asks for it, so we want to know this information in order to provide you with the best help possible. You are not obliged to provide any of this information at this time, but please know that if you do, your privacy is very important to us. We will only share this information with trusted attorneys.

Learn more about updating identification documents at GSE's website: https://www.gardenstateequality.org/take-action/update-id/
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Contact Information
First Name *
What you'd like us to call you
Last Name *
Pronouns
Street Address *
ZIP Code
City
Phone Number To Reach you *
Email Address *
Additional Information
Current Legal Name
Prior Name(s)
If any
Have you made any prior applications to legally change your name?
Clear selection
If yes, when?
Enter the year in YYYY format, e.g. 2021
If yes, where?
Have you ever been convicted of a crime?
Clear selection
Do you currently have any criminal charges pending against you?
Clear selection
If you answered "yes" to either of the two previous questions, please specify.
Do you have any unsatisfied judgments or lawsuits pending against you?
Clear selection
If yes, please specify.
Have you ever filed for bankruptcy?
Clear selection
If yes, please specify the date of your application.
MM
/
DD
/
YYYY
Do you consent to your information (name/age/email) being provided to pro bono attorneys and law students so they may assist with your name change process? *
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