Form NC-410 "Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program (Safe at Home)" - California

What Is Form NC-410?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2010;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form NC-410 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form NC-410 "Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program (Safe at Home)" - California

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CONFIDENTIAL
NC-410
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
TELEPHONE NO.:
FAX NO. (Optional):
end of the form when finished.
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITION OF (Name of each petitioner):
APPLICATION TO FILE DOCUMENTS UNDER SEAL
CASE NUMBER:
IN NAME CHANGE PROCEEDING UNDER
ADDRESS CONFIDENTIALITY PROGRAM (SAFE AT HOME)
Before you complete this petition, you should read the Information Sheet for Name Change Proceedings Under
Address Confidentiality Program (Safe at Home) (form NC-400-INFO). You must file a Declaration in Support of
Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program
(Safe at Home) (form NC-420) with this application. You must file this application and the petition in the
superior court of the county where the person whose name is to be changed resides.
1.
Petitioner (name):
is a participant in the
Secretary of State's address confidentiality program under Government Code sections 6205–6211 and is alleging one of the
following as a reason for the name change: (1) seeking to avoid domestic violence, (2) seeking to avoid stalking, or (3) is, or is
filing on behalf of, a victim of sexual assault.
2.
Petitioner requests that the court file the following documents under seal:
a.
Petition for Change of Name (form NC-100)
b.
Attachment to Petition for Change of Name (form NC-110)
c.
Order to Show Cause for Change of Name (form NC-120)
d.
Decree Changing Name (form NC-130)
e.
Civil Case Cover Sheet (form CM-010)
f.
Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program
(Safe at Home) (form NC-410)
g.
Declaration in Support of Application to File Documents Under Seal in Name Change Proceeding Under Address
Confidentiality Program (Safe at Home) (form NC-420)
h.
Order on Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality
Program (Safe at Home) (form NC-425)
i.
Other (specify):
3.
The facts that support this petition to file the documents checked above under seal are stated in the Declaration in Support of
Application to File Documents Under Seal In Name Change Proceeding Under Address Confidentiality Program (Safe at Home)
(form NC-420).
4.
Petitioner has completed each of the documents checked above, placed them in a sealed envelope, and is lodging the envelope
with the court along with this application.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY OR PETITIONER WITHOUT ATTORNEY)
Page 1 of 1
Form Adopted for Mandatory Use
APPLICATION TO FILE DOCUMENTS UNDER SEAL
Code of Civil Procedure, § 1277;
Judicial Council of California
California Rules of Court, rule 2.577
IN NAME CHANGE PROCEEDING UNDER
NC-410 [New January 1, 2010]
www.courtinfo.ca.gov
ADDRESS CONFIDENTIALITY PROGRAM (SAFE AT HOME)
For your protection and privacy, please press the Clear This Form
Save This Form
Print This Form
Clear This Form
button after you have printed the form.
CONFIDENTIAL
NC-410
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
TELEPHONE NO.:
FAX NO. (Optional):
end of the form when finished.
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITION OF (Name of each petitioner):
APPLICATION TO FILE DOCUMENTS UNDER SEAL
CASE NUMBER:
IN NAME CHANGE PROCEEDING UNDER
ADDRESS CONFIDENTIALITY PROGRAM (SAFE AT HOME)
Before you complete this petition, you should read the Information Sheet for Name Change Proceedings Under
Address Confidentiality Program (Safe at Home) (form NC-400-INFO). You must file a Declaration in Support of
Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program
(Safe at Home) (form NC-420) with this application. You must file this application and the petition in the
superior court of the county where the person whose name is to be changed resides.
1.
Petitioner (name):
is a participant in the
Secretary of State's address confidentiality program under Government Code sections 6205–6211 and is alleging one of the
following as a reason for the name change: (1) seeking to avoid domestic violence, (2) seeking to avoid stalking, or (3) is, or is
filing on behalf of, a victim of sexual assault.
2.
Petitioner requests that the court file the following documents under seal:
a.
Petition for Change of Name (form NC-100)
b.
Attachment to Petition for Change of Name (form NC-110)
c.
Order to Show Cause for Change of Name (form NC-120)
d.
Decree Changing Name (form NC-130)
e.
Civil Case Cover Sheet (form CM-010)
f.
Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program
(Safe at Home) (form NC-410)
g.
Declaration in Support of Application to File Documents Under Seal in Name Change Proceeding Under Address
Confidentiality Program (Safe at Home) (form NC-420)
h.
Order on Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality
Program (Safe at Home) (form NC-425)
i.
Other (specify):
3.
The facts that support this petition to file the documents checked above under seal are stated in the Declaration in Support of
Application to File Documents Under Seal In Name Change Proceeding Under Address Confidentiality Program (Safe at Home)
(form NC-420).
4.
Petitioner has completed each of the documents checked above, placed them in a sealed envelope, and is lodging the envelope
with the court along with this application.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF ATTORNEY OR PETITIONER WITHOUT ATTORNEY)
Page 1 of 1
Form Adopted for Mandatory Use
APPLICATION TO FILE DOCUMENTS UNDER SEAL
Code of Civil Procedure, § 1277;
Judicial Council of California
California Rules of Court, rule 2.577
IN NAME CHANGE PROCEEDING UNDER
NC-410 [New January 1, 2010]
www.courtinfo.ca.gov
ADDRESS CONFIDENTIALITY PROGRAM (SAFE AT HOME)
For your protection and privacy, please press the Clear This Form
Save This Form
Print This Form
Clear This Form
button after you have printed the form.