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LACIV 226

This form is only required in Los Angeles County
 

The LACIV 226 form is required for all name changes in L.A. county. It's used to perform a background check. This form is confidential, so it will not be part of the public record.

  • Under Sex, put your AGAB.
  • Under Race/Ethnicity, put your race (e.g. White, Black, Native American, etc.).
  • Under Social Security, put your social security number.
  • Under Driver's License or ID, put your Driver's License number or another form of government ID.
  • Under Place of Birth, put the name and address of the hospital where you were born. This can be found on your birth certificate if you don't know it.
  • If you've had your name legally changed before, put all of your previous names under Other name(s) used.
  • On the line labeled Date, write the current date, and then sign on the Signature line.
  • Leave everything else blank.

Example

Here's what your form should look like once it's finished (Everything I added is in red for emphasis. Use black when you're filling your form out):

laciv226-revised.webp