Statutory declaration for changing your name by deed poll: Form LOC021
This form must be completed by someone that knows you. Send it with your application to enrol your change of name, if you're 18 or over, to the Royal Courts of Justice.
Applies to England, Northern Ireland and Wales
Documents
Details
Before applying by post you should first read the full guide on changing your name by deed poll. This includes guidance on how to change a child鈥檚 name.
You must also complete and include:
- an adult deed poll form if applying by post (not needed for online applications)
- photocopies of certain documents 鈥� these will be your 鈥榚xhibits鈥�. See the full guide for information about the documents you must include
- a cover sheet for each exhibit 鈥� you can use our template exhibit cover sheet
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Open a document
You can download and open PDF documents on your device. Downloading enables more features to be used, such as printing.
Adobe Reader is a free to use PDF viewer. You can use this to view, fill in and print PDF documents. You do not need to sign up for a free trial.
Follow these steps:
- for free.
- Right-click on the document link then select 鈥楽ave link as鈥� or 鈥楧ownload linked file鈥�.
- Save the form (in your 鈥榙ocuments鈥� folder, for example).
- Open Adobe Reader and then select the saved form.
If the form still does not open, contact hmctsforms@justice.gov.uk.
If you need a printed version contact your local court.
Request accessible formats
You can request:
- a Braille version
- a large print version
- an easy read version
Request an accessible format by emailing hmctsforms@justice.gov.uk
Microsoft Word
Microsoft Word is not generally suitable for our documents. You can only request a conversion of a PDF form to Word format as a reasonable adjustment under the Equality Act 2010. Find out more about the Equality Act 2010 in the guidance.
Updates to this page
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Added Welsh landing page and guidance
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Added translation