Form Cc 1412 PDF Details

In the Commonwealth of Virginia, the process for an adult seeking to legally change their name is governed by specific statutory requirements, most notably outlined in Virginia Code §§ 8.01-217 and 20-121.4. The Form CC-1412, known as the "Order for Change of Name (Adult)," serves as a pivotal document within this legal procedure. It initiates with the applicant’s appearance in the Circuit Court of their respective city or county, presenting a verified application that delineates their request to transition from their current name to their chosen new name, including any additional former names they might have had. This form meticulously documents the applicant's existing name and the desired new name, encapsulating the essence of the identity transition being sought. The court's role, as outlined in this form, involves assessing the application not only for compliance with the relevant legal statutes but also for the genuineness of the request, ensuring it is not meant for fraudulent purposes or in a manner that would unjustly affect the rights of others. Notably, this scrutiny extends even to applicants who are incarcerated, on probation, or required to register with the Sex Offender and Crimes Against Minors Registry, with the court needing to establish "good cause" prior to considering such applications. Upon approval, the document details the procedural steps subsequent to the name change, from updating public records to notifying essential government entities, and under certain conditions, sealing the record to protect the applicant. Thus, Form CC-1412 not only facilitates a significant transition on a personal level but also serves as a safeguard, ensuring the process respects the legal and societal parameters laid out by the state of Virginia.

QuestionAnswer
Form NameForm Cc 1412
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesvirginia form cc 1412, virginia formcc1412, form cc 1412, cc 1412 order change name

Form Preview Example

ORDER FOR CHANGE OF NAME (ADULT)

Case No

Commonwealth of Virginia VA. CODE §§ 8.01-217, 20-121.4

 

VIRGINIA: In the Circuit Court of the [ ] City [ ] County of .........................................................................................

IN RE:

This day came the applicant having filed his/her verified application requesting the change of his/her name from

....................................................................................................................................................................................

FIRST

MIDDLE

LAST

SUFFIX

 

 

to

 

....................................................................................................................................................................................

 

FIRST

MIDDLE

LAST

SUFFIX

Additional former name(s) of the applicant:

 

The applicant’s address is:

 

 

[ ] The Court finds that

 

 

 

[

] the application complies with the requirements of subsection B of Virginia Code § 8.01-217,

[

] a motion was made pursuant to Va. Code § 20-121.4 incident to divorce,

 

the change of name is not sought for any fraudulent purpose, and the change of name would not otherwise infringe upon the rights of others.

[ ] The Court previously found that the applicant is presently incarcerated, a probationer, or a person for whom registration with the Sex Offender and Crimes Against Minors Registry is required but found good cause for consideration of the application and conducted a hearing on the application.

[ ] The Court finds that the change of name would not frustrate a legitimate law enforcement purpose, is not sought for a fraudulent purpose, and would not otherwise infringe upon the rights of others. The basis for this finding is as

follows: .....................................................................................................................................................

..................................................................................................................................................................

..................................................................................................................................................................

Accordingly, it is ADJUDGED and ORDERED that

[ ] The applicant’s name is hereby changed, effective this date, to

....................................................................................................................................................................................

and this cause is ended.

[ ] The Clerk of this Court shall forthwith spread this Order upon the current deed book, indexing the order in both the old and new names.

[ ] The Clerk of this Court shall further transmit a certified copy of this Order and the application to the State Registrar of Vital Records and to the Central Criminal Records Exchange.

[ ] This change of name is granted incident to a divorce and the Clerk shall not transmit any copy of this Order to the Registrar of Vital Records or to the Central Criminal Records Exchange.

[ ] Public recording of the name change would pose a serious threat to the health or safety of the applicant/applicant’s family and the record of this cause is hereby Ordered sealed. The Clerk shall not spread or index this Order and shall not transmit any copy of this Order to the Registrar of Vital Records or to the Central Criminal Records Exchange.

[ ] The application for change of name is hereby denied and this cause is dismissed.

Entered this

day of

......................................................................, 20

 

 

_____________________________________________________________________

 

 

JUDGE

FORM CC-1412 MASTER 07/14