Illinois Name Change Forms – How to Change Your Name in ILIllinois Name Change Forms – How to Change Your Name in IL
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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
Directly above, enter
the county name
where you will file
this case.

Request of:

Enter your current
name.
DO NOT enter a Case
Number, the Circuit
Clerk will add it.

Your current name (First, middle, last name)

In 1, enter your
complete current
name.

I ask the court to enter an order to change my name, and I state:

Case Number

1.

In 2, enter the new full
name you would like.
In 3, enter your
complete current
address.
In 4, enter the date
you started living in
Illinois.
In 5, enter the year
you were born.
DO NOT enter your
entire date of birth.
In 6, enter the city,
county, state, and
country where you
were born.
In 7-9, check the
boxes that apply to
your criminal history.
In 10, 11, and 12
check whether you
have or have not been
convicted or put on
probation for the
c