JUDGE OF THE SUPERIOR COURTSIGNATURE OF JUDGE FOLLOWS LAST ATTACHMENT Date:DECREE CHANGING NAME AND ORDER RECOGNIZING CHANGE OF GENDER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATEForm Adopted for Mandatory Use Judicial Council of California NC-230 [Rev. September 1, 2018]Code of Civil Procedure, 247247 1278, 1279; Health & Safety Code, 247247 103430, 103435 Page 1 of 1NC-230THE COURT FINDS2.THE COURT ORDERSTHE COURT FURTHER ORDERSTHE COURT FURTHER ORDERS5.A new birth certificate shall be issued reflecting the changes in name and gender.3.4. FOR COURT USE ONLY CASE NUMBER: PETITION OF (name of petitioner): FOR CHANGE OF NAME AND GENDER SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME: ATTORNEY OR PARTY WITHOUT ATTORNEYSTATE BAR NUMBER:NAME:FIRM NAME:STREET ADDRESS:CITY:STATE:ZIP CODE:TELEPHONE NO.:FAX NO.:E-MAIL ADDRESS:ATTORNEY FOR (name): DECREE CHANGING NAME AND ORDER RECOGNIZING CHANGE OF GENDER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATEAll notices required by law have been given.a.Each person whose name is to be changed identified in item 3 belowb.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.e.is not is required to register as a sex offender under section 290 of the Penal Code. This determination was made by using CLETS/CJIS based on information provided to the clerk of the court by a local law enforcement agency.is changed to:d.Objections to the proposed change of name were made by (name): f.Other findings (if any): The name of (present name):is changed to (new name):The gender of (new name):c.No objections to the proposed change of name were made. a.female. b.male. of the above-entitled court.The petition was duly considered: a.b.in Courtroom: at the hearing on (date):without hearing. nonbinary. c.1.If petitioner was born in California, a certified copy of this order shall be filed by 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 shallestablish for the petitioner a new birth certificate reflecting the new name and the gender of the petitioner as it has been altered.6. American LegalNet, Inc. www.FormsWorkFlow.com