Virginia Application For Change Of Name

Information you will need

• What city or county is the applicant filing in?
• What’s the applicant's first name at birth?
• What’s the applicant's middle name at birth?
• What’s the applicant's last name at birth?
• What’s the applicant's city or county of residence?
• What’s the applicant's residential address?
• What’s the applicant's city?
• What’s the applicant's state?
• What’s the applicant's ZIP code?
• What’s the applicant's country?
• What's the applicant's date of birth?
• What's the applicant's place of birth?
• What’s the first name of the applicant's first parent?
• What’s the last name of the applicant's first parent?
• What’s the suffix of the applicant's first parent?
• What’s the first name of the applicant's second parent?
• What’s the last name of the applicant's second parent?
• What’s the middle name of the applicant's second parent?
• What’s the suffix of the applicant's second parent?
• Why is the applicant changing their name?
• Is the applicant currently incarcerated?
• Where is the applicant incarcerated? (if applicable)
• Where was the applicant convicted? (if applicable)
• What's the name of the probationer's court?

…and 30 more fields in the PDF.

The form includes a notary acknowledgment.