Parties & Case Info

a. General Information

In the Leave this blank. The clerk's office will fill in the court number when you file this form. District Court Check this box if your case will be heard in a District Court. The clerk can tell you which court to use. County Court at Law Check this box if your case will be heard in a County Court at Law. The clerk can tell you which court to use. County, Texas Write the name of the Texas county where you are filing this form. Print current full legal name of person asking for name change. Write your full legal name exactly as it appears now on official documents. First Write your current first name. Middle Write your current middle name. Leave blank if you don't have one. Last Write your current last name. Street Address Write the street address where you live, including any apartment or unit number. City Write the city where you live. County Write the county where you live. State Write the state where you live. ZIP code Write the ZIP code for your home address. I am not required to provide my home address, because I am a participant in the Office of the Attorney General's Address Confidentiality Program. Only check this if you are in the Attorney General's Address Confidentiality Program. Then you do not have to give your home address. Social Security Number: Write your full Social Security Number. Leave blank if you do not have one and check the box instead. I do not have a Social Security Number. Check this box only if you do not have a Social Security Number.

b. Children's Basic Information

Date of birth: Enter the month, day, and year you were born. License number Write the number from one of your driver's licenses from the last 10 years. State Write the state that issued this driver's license. License number Write another driver's license number you had in the last 10 years, if any. State Write the state that issued this driver's license. License number Write another driver's license number you had in the last 10 years, if any. State Write the state that issued this driver's license. License number Write another driver's license number you had in the last 10 years, if any. State Write the state that issued this driver's license. I have not had a driver's license during the last 10 years. Check this box only if you have not had a driver's license in the past 10 years. City Write the city where you were born. County Write the county where you were born, if you know it. State Write the state where you were born. Country Write the country where you were born. Male Check this box if your birth certificate lists your sex as male. Female Check this box if your birth certificate lists your sex as female. Race: Write your race as it would appear on official records. First Only fill in if the name on your birth certificate is different from your current legal name. Write the first name. Middle Only fill in if different from your current legal name. Write the middle name. Last Only fill in if different from your current legal name. Write the last name. Known by the following names and aliases: List any other name you have used, like a prior name, nickname, or alias. Leave blank if none. Known by the following names and aliases: List another name you have used, if any. Known by the following names and aliases: List another name you have used, if any. Known by the following names and aliases: List another name you have used, if any. Known by the following names and aliases: List another name you have used, if any. Known by the following names and aliases: List another name you have used, if any. Have you ever been charged with a Class A or B misdemeanor or a felony? Yes Check Yes if you have ever been charged with a Class A or B misdemeanor or a felony. Have you ever been charged with a Class A or B misdemeanor or a felony? No Check No if you have never been charged with a Class A or B misdemeanor or a felony. FBI Number Write your FBI number if you have been charged with a crime. You can find it on your criminal record. SID Number Write your State Identification (SID) number if you have one from your criminal record. Offense Name the crime you were charged with, even if you were not convicted. Case Number Write the case number for this charge. County Write the county where this charge was filed. Court Number Write the court number that handled this charge. District Court Check this box if the charge was handled in a district court. County Court Check this box if the charge was handled in a county court. Offense Name another crime you were charged with, if any. Case Number Write the case number for this charge. County Write the county where this charge was filed. Court Number Write the court number that handled this charge. District Court Check this box if the charge was handled in a district court. County Court Check this box if the charge was handled in a county court. Offense Name another crime you were charged with, if any. Case Number Write the case number for this charge. County Write the county where this charge was filed. Court Number Write the court number that handled this charge. District Court Check this box if the charge was handled in a district court. County Court Check this box if the charge was handled in a county court. Offense Name another crime you were charged with, if any. Case Number Write the case number for this charge. County Write the county where this charge was filed. Court Number Write the court number that handled this charge. District Court Check this box if the charge was handled in a district court. County Court Check this box if the charge was handled in a county court. Offense Name another crime you were charged with, if any. Case Number Write the case number for this charge. County Write the county where this charge was filed. Court Number Write the court number that handled this charge. District Court Check this box if the charge was handled in a district court. County Court Check this box if the charge was handled in a county court. Have you ever been convicted of a felony? Yes Check this box if you have ever been found guilty of a felony crime. Have you ever been convicted of a felony? No Check this box if you have never been found guilty of a felony crime. Offense Write the name of the felony crime you were convicted of. Case Number Write the case number for this felony, found on your court papers. County Write the county where this felony case was handled. Court Number Write the number of the court that handled this felony case. District Court Check this box if a district court handled this felony case. County Court Check this box if a county court handled this felony case. Offense Write the name of another felony crime you were convicted of. Case Number Write the case number for this felony, found on your court papers. County Write the county where this felony case was handled. Court Number Write the number of the court that handled this felony case. District Court Check this box if a district court handled this felony case. County Court Check this box if a county court handled this felony case. Offense Write the name of another felony crime you were convicted of. Case Number Write the case number for this felony, found on your court papers. County Write the county where this felony case was handled. Court Number Write the number of the court that handled this felony case. District Court Check this box if a district court handled this felony case. County Court Check this box if a county court handled this felony case. Offense Write the name of another felony crime you were convicted of. Case Number Write the case number for this felony, found on your court papers. County Write the county where this felony case was handled. Court Number Write the number of the court that handled this felony case. District Court Check this box if a district court handled this felony case. County Court Check this box if a county court handled this felony case. Offense Write the name of another felony crime you were convicted of. Case Number Write the case number for this felony, found on your court papers. County Write the county where this felony case was handled. Court Number Write the number of the court that handled this felony case. District Court Check this box if a district court handled this felony case. County Court Check this box if a county court handled this felony case. Are you required to register as a sex offender? Yes Check this box if the law requires you to register as a sex offender. Are you required to register as a sex offender? No Check this box if you are not required to register as a sex offender.