Form NC-330 Order Recognizing Change of Gender and for Issuance of New Birth Certificate - California

Form NC-330 is a California Superior Court form also known as the "Order Recognizing Change Of Gender And For Issuance Of New Birth Certificate". The latest edition of the form was released in September 1, 2018 and is available for digital filing.

Download a PDF version of the Form NC-330 down below or find it on California Superior Court Forms website.

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NC-330
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITION OF (name):
CASE NUMBER:
ORDER RECOGNIZING CHANGE OF GENDER AND
FOR ISSUANCE OF NEW BIRTH CERTIFICATE
1.
The petition was duly considered:
a.
at the hearing on (date):
in Courtroom:
of the above-entitled court.
b.
without hearing.
THE COURT FINDS
2.
a.
It appears to the satisfaction of the court that all the allegations in the petition are true and sufficient and that the petition
should be granted.
b.
Other findings (if any):
THE COURT ORDERS
3.
The gender of the petitioner has been changed to:
a.
female.
b.
male.
nonbinary.
c.
THE COURT FURTHER ORDERS
4.
A new birth certificate reflecting the change of gender described in item 3 shall be issued.
5.
If petitioner was born in California, a certified copy of this order shall be filed by the petitioner within 30 days with the State
Registrar. When the State Registrar receives a certified copy of this order and payment of the applicable fees, the State Registrar
shall establish for the petitioner a new birth certificate reflecting the gender of the petitioner as it has been altered.
Date:
JUDICIAL OFFICER
Page 1 of 1
Form Approved for Optional Use
ORDER RECOGNIZING CHANGE OF GENDER AND
Health and Safety Code, §§ 103425, 103430,
103435, 103440
Judicial Council of California
FOR ISSUANCE OF NEW BIRTH CERTIFICATE
NC-330 [Rev. September 1, 2018]
www.courts.ca.gov
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
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Save this form
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NC-330
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITION OF (name):
CASE NUMBER:
ORDER RECOGNIZING CHANGE OF GENDER AND
FOR ISSUANCE OF NEW BIRTH CERTIFICATE
1.
The petition was duly considered:
a.
at the hearing on (date):
in Courtroom:
of the above-entitled court.
b.
without hearing.
THE COURT FINDS
2.
a.
It appears to the satisfaction of the court that all the allegations in the petition are true and sufficient and that the petition
should be granted.
b.
Other findings (if any):
THE COURT ORDERS
3.
The gender of the petitioner has been changed to:
a.
female.
b.
male.
nonbinary.
c.
THE COURT FURTHER ORDERS
4.
A new birth certificate reflecting the change of gender described in item 3 shall be issued.
5.
If petitioner was born in California, a certified copy of this order shall be filed by the petitioner within 30 days with the State
Registrar. When the State Registrar receives a certified copy of this order and payment of the applicable fees, the State Registrar
shall establish for the petitioner a new birth certificate reflecting the gender of the petitioner as it has been altered.
Date:
JUDICIAL OFFICER
Page 1 of 1
Form Approved for Optional Use
ORDER RECOGNIZING CHANGE OF GENDER AND
Health and Safety Code, §§ 103425, 103430,
103435, 103440
Judicial Council of California
FOR ISSUANCE OF NEW BIRTH CERTIFICATE
NC-330 [Rev. September 1, 2018]
www.courts.ca.gov
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form

Download Form NC-330 Order Recognizing Change of Gender and for Issuance of New Birth Certificate - California

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