Form NC-R303.7 "Request for Name Change (Adult)" - Illinois

What Is Form NC-R303.7?

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

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Illinois Circuit Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form NC-R303.7 by clicking the link below or browse more documents and templates provided by the Illinois Circuit Court.

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Download Form NC-R303.7 "Request for Name Change (Adult)" - Illinois

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
REQUEST FOR NAME CHANGE
(ADULT)
COUNTY
Instructions
Request of:
Directly above, enter
the county name
where you will file
this case.
Enter your current
name.
Your current name (First, middle, last name)
DO NOT enter a Case
Number, the Circuit
Case Number
Clerk will add it.
In 1, enter your
I ask the court to enter an order to change my name, and I state:
complete current
1.
My current name is:
name.
In 2, enter the new full
name you would like.
First
Middle
Last
2.
I wish my name to be changed to:
First
Middle
Last
In 4, enter the date
My address is listed at the end of this Request.
3.
you started living in
Illinois.
4.
I have lived continuously in Illinois for at least 6 months beginning:
Date
In 5, enter your date of
birth
5.
My birth date is:
Date
In 6, enter the city,
county, state, and
6.
My place of birth is:
country where you
City
County
State/Province
Country
were born.
In 7-9, check the
7.
I
have
have not
been adjudicated or convicted of a felony or
boxes that apply to
your criminal history.
misdemeanor in Illinois or any other state for which a pardon has not been granted.
In 10, 11, and 12
check whether you
do
do not
8.
I
have an arrest for which charges have not been filed.
have or have not been
convicted or put on
probation for the
9.
I
do
do not
have a pending felony or misdemeanor charge.
crime listed.
If you checked “have”
have
have not
10.
I
been convicted of or placed on probation for a crime
in 10 or 11 and have
which requires me to register as a sex offender in Illinois or any other state.
not been pardoned, the
court cannot give you
a name change.
11.
I
have
have not
been convicted of or placed on probation for identity
If you checked “have”
theft or aggravated identity theft in Illinois or any other state.
in 12 and have not
been pardoned or have
not completed your
12.
I
have
have not
been convicted of or placed on probation for a felony in
probation or sentence
Illinois or any other state.
over 10 years ago, the
court may not give
you a name change.
(12/19)
NC-R 303.7
Page 1 of 3
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
REQUEST FOR NAME CHANGE
(ADULT)
COUNTY
Instructions
Request of:
Directly above, enter
the county name
where you will file
this case.
Enter your current
name.
Your current name (First, middle, last name)
DO NOT enter a Case
Number, the Circuit
Case Number
Clerk will add it.
In 1, enter your
I ask the court to enter an order to change my name, and I state:
complete current
1.
My current name is:
name.
In 2, enter the new full
name you would like.
First
Middle
Last
2.
I wish my name to be changed to:
First
Middle
Last
In 4, enter the date
My address is listed at the end of this Request.
3.
you started living in
Illinois.
4.
I have lived continuously in Illinois for at least 6 months beginning:
Date
In 5, enter your date of
birth
5.
My birth date is:
Date
In 6, enter the city,
county, state, and
6.
My place of birth is:
country where you
City
County
State/Province
Country
were born.
In 7-9, check the
7.
I
have
have not
been adjudicated or convicted of a felony or
boxes that apply to
your criminal history.
misdemeanor in Illinois or any other state for which a pardon has not been granted.
In 10, 11, and 12
check whether you
do
do not
8.
I
have an arrest for which charges have not been filed.
have or have not been
convicted or put on
probation for the
9.
I
do
do not
have a pending felony or misdemeanor charge.
crime listed.
If you checked “have”
have
have not
10.
I
been convicted of or placed on probation for a crime
in 10 or 11 and have
which requires me to register as a sex offender in Illinois or any other state.
not been pardoned, the
court cannot give you
a name change.
11.
I
have
have not
been convicted of or placed on probation for identity
If you checked “have”
theft or aggravated identity theft in Illinois or any other state.
in 12 and have not
been pardoned or have
not completed your
12.
I
have
have not
been convicted of or placed on probation for a felony in
probation or sentence
Illinois or any other state.
over 10 years ago, the
court may not give
you a name change.
(12/19)
NC-R 303.7
Page 1 of 3
Enter the Case Number given by the Circuit Clerk: _________________________________
In 13, describe what
13.
If you checked "have" in 10, 11, or 12 complete the following:
you were convicted of
Date of
Sentence Received
Date
or placed on probation
Description of
Conviction or
(include parole and
Sentence
Pardoned?
for, if you checked
Conviction
“have” in 10, 11, or
Probation
supervised release)
Completed
(Yes or No)
12.
If you run out of
space, use a separate
piece of paper.
Under the Code of
I certify that everything in the Request for Name Change (Adult) is true and correct. I
Civil Procedure,
735
understand that making a false statement on this form is perjury and has penalties provided
ILCS
5/1-109, making
by law under
735 ILCS
5/1-109.
a statement on this
form that you know to
be false is perjury, a
/s/
Class 3 Felony.
Your Signature
Street Address
If you are completing
this form on a
computer, sign your
Print Your Name
City, State, ZIP
name by typing it. If
you are completing it
by hand, sign and
print your name.
Telephone
 I am using an alternative address because disclosing my address would put me or my
Enter your complete
current address and
household at risk.
telephone number. If
disclosing your
address would put you
or your household at
risk, you may use
another address. That
address must be one at
which you can receive
mail about the case.
GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email
address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email
every day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail.
I agree to receive court documents at this email address during my entire case.
Email
NC-R 303.7
(12/19)
Page 2 of 3
Enter the Case Number given by the Circuit Clerk: _________________________________
NOTE
VERIFICATION BY WITNESS
This section must be
filled out by someone
else, not by you.
I,
First
Middle
Last
Witness: Enter your
full name.
certify that what is stated above and on the Request for Name Change (Adult) is true and correct
Under the Code of
to the best of my knowledge and belief. I understand that making a false statement on this form
Civil Procedure,
735
ILCS
5/1-109, making
is perjury and has penalties provided by law under
735 ILCS
5/1-109.
a statement on this
form that you know to
be false is a Class 3
Felony.
Witness Signature
Street Address
Witness: Sign and
print your name.
Print or Type Name
City, State, Zip
Witness: Enter your
complete address and
telephone number.
Telephone
NC-R 303.7
Page 3 of 3
(12/19)
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