Sonoma — Petition for Recognition of Minor's Change of Gender and Sex Identifier

Source: https://sonoma.courts.ca.gov/system/files/forms-and-filings/nc-500-packet-all-forms_0.pdf

Sparse pages use OCR; original PDF remains authoritative.

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA Civil Division 3055 Cleveland Ave Santa Rosa, CA 95403-2122 707-521-6610 www.sonoma.courts.ca.gov SELF-HELP CENTER 707-521-6534 SelfHelp@sonomacourt.org Petition for Recognition of Minor’s Change of Gender and Sex Identifier and for Issuance of New Birth Certificate And Change of Name The fee for filing is $435.00 payable at the time of filing. You may qualify to have this fee waived. The following forms may be obtained on the www.sonoma.courts.ca.gov website or at from the Courthouse: Information Sheet on Waiver of Court Fees and Costs FW-001-INFO Application for Waiver of Court Fees and Costs (FW-001) and Order on Application for Waiver of Court Fees and Costs (FW-003). |f you qualify to have the fees waived submit these forms with your Petition for Change of Name. Included in this packet are the forms you will need when applying for a change of name and gender. After you have completed the forms make two photocopies of each of the forms you will be presenting to the court. Civil Case Cover Sheet oo. cccccccsseeesssesssnessseseesssessssseevsvacsvsssacscscsescscsesevavscsesecerevansusasacavanseasstsevaavees CM-010 Instructions for Filing Petition for Recognition of Minor’s Change of Gender and Sex Identifier and Issuance of New Birth Certificate and Change of Name........c.ccccccccccccsesssssesessesssecececscatscecsesassvavacacavecaees NC-500-INFO Petition for Recognition of Minor’s Change of Gender and Sex Identifier and Issuance of New Birth Certificate and Change of Name .......c.c.cccccccscesesssecscsssssesescssssssssceceversesesecacevansesatatsssvsssssatsseatsesaeses NC-500 Declaration of Guardian or Juvenile Attorney .........c.cccccccecscscscecececcecscececesscscscesssaceusevasesacavavacataversseecs NC-510G Order to Show Cause- Recognition of Minor’s Change of Gender and Sex identifier and for Issuance of New Birth Certificate. 2. ci cceeceseseesnsnssnsseenesessseacaseneasesescsusesasuesesecstsasetsessrersensasanassnsateansanseeaes NC-520 Order Recognizing Minor’s Change of Gender and Sex Identifier and for Issuance of New Birth Certificate ee cece cceececceeesestsesssesssesssesesesesssecevsvsesscacsessvsvevssssessusssevasasavasasasasasatatacatensavavavaseatacacsvaee Proof of Service of Order to Show Cause INFORMATION ABOUT NAME CHANGE PETITIONS The originals of the forms and at least one copy must be submitted with the filing fee, or fee waiver application. Include a self-addressed, stamped envelope with your documents. Using your endorsed copy, you will need to make additional copies for service on those persons that must receive them before the Court considers your petition.

1. Documents to File: File the required forms listed above. Enclose a check in the amount of $40.00 for each certified copy of the order you require, plus $.50 per page for the copy, and a self-addressed, stamped envelope. This will eliminate the need for you to come back to the Clerk's Office to have copies made at a later time. Pursuant to CCP 1279.5, the Court is required to contact the California Justice Information System and California Law Enforcement Telecommunications System to determine if the applicant is under the jurisdiction of the Department of Corrections or is a registered sex offender. 7-2026

CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY NAME: FIRM NAME: STREET ADDRESS: CITY: TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (name): STATE BAR NUMBER: STATE: ZIP CODE: FAX NO.: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: [1] Unlimited L] Limited (] Counter (1) Joinder (Amount (Amount . ; demanded demanded is Filed with first appearance by defendant | JU°SE exceeds $35,000) $35,000 or less) (Cal. Rules of Court, rule 3.402) DEPT. Items 1-6 below must be completed (see instructions on page 2 and examples on page 3). (1. Check one box below for the case type that best describes this case: Auto Tort [[] Auto (22) [-] Uninsured motorist (46) Asbestos (C1 Asbestos (04) Other PI/PD/WD (Personal Injury/Property Damage/Wrongful Death) Tort [F] Product liability (24) (1 Medical malpractice (45) [-] Other P/PD/WD (23) Non-PI/PD/WD (Other) Tort Business tort/Unfair business practice (07) Civil rights (08) Defamation (13) Fraud (16) Intellectual property (19) Professional negligence (25) Other non-Pi/PD/WD tort (35) OOOOOOO Employment [([] Wrongful termination (36) ([] Other employment (15) Contract Breach of contract/warranty (06) Song-Beverly Act: Motor Vehicle Lemon Law (49) Rule 3.740 collections (09) Other collections (09) Insurance coverage (18) Other contract (37) Real Property (-] Eminent domain/inverse condemnation (14) [-] Wrongful eviction (33) [-] Other real property (26) Unlawful Detainer (] Commercial (31) (11 Residential (32) (F]_ Drugs (38) Judicial Review (] Asset forfeiture (05) [] Petition re arbitration award (11) [-] Writ of mandate (02) [-] Other judicial review (39) OOOO OO Employment Development Department (EDD) [[] EDD decision review (48) Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.400-3.404) Antitrust/Trade regulation (03) Construction defect (10) Mass tort (40) Securities litigation (28) Environmental/Toxic tort (30) Comprehensive groundwater adjudication (47) OOOOOOO Insurance coverage claims arising from the above listed provisionally complex case types (41) Enforcement of Judgment (] Enforcement of judgment (20) Miscellaneous Civil Complaint (J Rico (27) {] Other complaint (not specified above) (42) Miscellaneous Civil Petition Oo Partnership and corporate governance (21) {Other petition (not specified above) (43) Judicial Council of California, courts.ca.gov Rev. July 1, 2026, Mandatory Form Cai. Rules of Court, rules 2.30, 3.220, 3.400-3.403, 3.740 Cal. Stds. Jud. Admin., std. 3.10 Civil Case Cover Sheet CM-010, Page 1 of 3

CM-010 2. Is this case complex under rule 3.400 of the California Rules of Court? {] Yes [-] No If the case is complex, mark the factors requiring exceptional judicial management: Large number of separately represented parties Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve Substantial amount of documentary evidence Large number of witnesses Coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal court ~"e@ a0 o OOOOOO Substantial postjudgment judicial supervision 3. Remedies sought (check all that apply): a. [| monetary b. [-] nonmonetary; declaratory or injunctive relief c. [] punitive 4. Number of causes of action (specify): 5. Is this case a class action suit? ( Yes [] No 6. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)

Type or print name Signature of party or attorney for party Date: NOTICE ¢ Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. ® File this cover sheet in addition to any cover sheet required by local court rule. @ if this case is complex under rule 3.400 et seq. of the California Rules of Court, or a collections case under rule 3.740, you must serve a copy of this cover sheet on ail other parties to the action or proceeding. (Cal. Rules of Court, rule 3.220.) @ Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on pages 1 and 2. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided on page 3 of this form. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A collections 5 1 23 1 1 10 781 1586 59 19 95.660057 case” 5 1 23 1 1 11 849 1586 64 19 96.985184 under 5 1 23 1 1 12 921 1586 39 19 96.683365 rule 5 1 23 1 1 13 968 1586 61 19 96.563797 3.740 5 1 23 1 1 14 1037 1585 21 20 96.563797 of 5 1 23 1 1 15 1065 1586 33 19 96.976562 the 5 1 23 1 1 16 1106 1585 102 20 96.835907 California 5 1 23 1 1 17 1218 1585 61 20 96.319870 Rules 5 1 23 1 1 18 1288 1585 21 19 96.917198 of 5 1 23 1 1 19 1316 1585 60 20 96.370102 Court 5 1 23 1 1 20 1385 1586 16 18 96.370102 is 5 1 23 1 1 21 1409 1585 78 19 96.519608 defined 5 1 23 1 1 22 1497 1590 24 14 96.840889 as 5 1 23 1 1 23 1530 1590 25 14 96.840889 an 4 1 23 1 2 0 115 1615 1478 24 -1 5 1 23 1 2 1 115 1617 64 18 96.428047 action 5 1 23 1 2 2 187 1616 28 19 96.069122 for 5 1 23 1 2 3 223 1621 93 18 96.069122 recovery 5 1 23 1 2 4 325 1615 20 19 96.868057 of 5 1 23 1 2 5 353 1620 72 19 96.296417 money 5 1 23 1 2 6 433 1615 58 19 96.710991 owed 5 1 23 1 2 7 500 1615 17 19 96.150330 in 5 1 23 1 2 8 526 1620 11 14 96.150330 a 5 1 23 1 2 9 546 1620 45 14 96.367493 sum 5 1 23 1 2 10 600 1615 65 19 96.975708 stated 5 1 23 1 2 11 673 1616 20 18 96.957932 to 5 1 23 1 2 12 701 1615 26 19 96.994217 be 5 1 23 1 2 13 736 1615 72 19 96.731461 certain 5 1 23 1 2 14 817 1615 40 19 96.799149 that 5 1 23 1 2 15 866 1615 16 19 96.799149 is 5 1 23 1 2 16 891 1616 34 18 96.436432 not 5 1 23 1 2 17 933 1620 54 14 96.825371 more 5 1 23 1 2 18 995 1616 48 18 96.382355 than 5 1 23 1 2 19 1052 1615 93 22 96.477966 $35,000, 5 1 23 1 2 20 1154 1615 101 19 96.842430 exclusive 5 1 23 1 2 21 1263 1615 21 19 96.929955 of 5 1 23 1 2 22 1291 1615 82 19 96.487740 interest 5 1 23 1 2 23 1381 1615 38 19 96.956161 and 5 1 23 1 2 24 1429 1615 104 24 94.169418 attorney's 5 1 23 1 2 25 1541 1615 52 21 96.899109 fees, 4 1 23 1 3 0 115 1645 1454 26 -1 5 1 23 1 3 1 115 1647 70 24 96.924080 arising 5 1 23 1 3 2 194 1646 47 19 96.371628 from 5 1 23 1 3 3 250 1651 11 14 96.353790 a 5 1 23 1 3 4 269 1646 121 19 96.353790 transaction 5 1 23 1 3 5 399 1646 17 18 96.337395 in 5 1 23 1 3 6 425 1645 62 19 96.962799 which 5 1 23 1 3 7 496 1646 94 23 96.809402 property, 5 1 23 1 3 8 600 1645 94 22 96.978149 services, 5 1 23 1 3 9 704 1650 21 14 96.880508 or 5 1 23 1 3 10 733 1650 73 19 96.782082 money 5 1 23 1 3 11 813 1650 44 15 96.478859 was 5 1 23 1 3 12 865 1645 94 24 95.535194 acquired 5 1 23 1 3 13 969 1650 24 14 96.922043 on 5 1 23 1 3 14 1003 1645 65 19 96.628586 credit. 5 1 23 1 3 15 1077 1645 16 19 96.803604 A 5 1 23 1 3 16 1101 1645 113 19 96.870438 collections 5 1 23 1 3 17 1223 1650 51 14 97.012756 case 5 1 23 1 3 18 1283 1645 52 19 96.723160 does 5 1 23 1 3 19 1344 1646 33 18 96.839348 not 5 1 23 1 3 20 1386 1645 76 19 96.243996 include 5 1 23 1 3 21 1471 1650 26 14 96.243996 an 5 1 23 1 3 22 1506 1645 63 19 96.617447 action 4 1 23 1 4 0 115 1675 1456 25 -1 5 1 23 1 4 1 115 1677 83 23 96.842827 seeking 5 1 23 1 4 2 207 1677 32 18 96.992188 the 5 1 23 1 4 3 247 1676 101 24 96.144409 following: 5 1 23 1 4 4 358 1676 29 23 96.046387 (1) 5 1 23 1 4 5 395 1676 34 18 95.090416 tort 5 1 23 1 4 6 438 1675 10

1645 76 19 96.243996 include 5 1 23 1 3 21 1471 1650 26 14 96.243996 an 5 1 23 1 3 22 1506 1645 63 19 96.617447 action 4 1 23 1 4 0 115 1675 1456 25 -1 5 1 23 1 4 1 115 1677 83 23 96.842827 seeking 5 1 23 1 4 2 207 1677 32 18 96.992188 the 5 1 23 1 4 3 247 1676 101 24 96.144409 following: 5 1 23 1 4 4 358 1676 29 23 96.046387 (1) 5 1 23 1 4 5 395 1676 34 18 95.090416 tort 5 1 23 1 4 6 438 1675 105 24 96.733681 damages, 5 1 23 1 4 7 554 1675 28 24 96.510040 (2) 5 1 23 1 4 8 591 1675 83 24 96.839890 punitive 5 1 23 1 4 9 682 1676 106 23 96.884911 damages, 5 1 23 1 4 10 799 1675 28 24 96.651817 (3) 5 1 23 1 4 11 836 1680 95 19 96.651817 recovery 5 1 23 1 4 12 939 1675 20 19 96.812004 of 5 1 23 1 4 13 967 1676 38 18 96.856354 real 5 1 23 1 4 14 1015 1676 94 23 96.804550 property, 5 1 23 1 4 15 1119 1675 28 24 96.341064 (4) 5 1 23 1 4 16 1156 1680 93 19 96.341064 recovery 5 1 23 1 4 17 1258 1675 21 19 96.998001 of 5 1 23 1 4 18 1286 1676 93 23 96.973343 personal 5 1 23 1 4 19 1389 1676 94 23 96.872787 property, 5 1 23 1 4 20 1494 1680 21 14 96.352516 or 5 1 23 1 4 21 1523 1675 28 24 85.583328 (5) 5 1 23 1 4 22 1559 1680 12 14 85.583328 a 4 1 23 1 5 0 115 1705 1457 26 -1 5 1 23 1 5 1 115 1707 135 24 96.405350 prejudgment 5 1 23 1 5 2 257 1706 38 19 96.710526 writ 5 1 23 1 5 3 304 1706 21 19 96.875580 of 5 1 23 1 5 4 332 1706 125 19 96.417946 attachment. 5 1 23 1 5 5 475 1705 41 19 96.953705 The 5 1 23 1 5 6 525 1705 134 19 96.124580 identification 5 1 23 1 5 7 669 1705 20 20 96.894142 of 5 1 23 1 5 8 696 1710 11 14 95.843582 a 5 1 23 1 5 9 717 1710 50 14 95.843582 case 5 1 23 1 5 10 776 1710 25 14 96.368805 as 5 1 23 1 5 11 809 1710 12 14 96.022835 a 5 1 23 1 5 12 830 1706 39 18 95.997025 rule 5 1 23 1 5 13 879 1705 60 19 95.997025 3.740 5 1 23 1 5 14 948 1705 115 20 96.875275 collections 5 1 23 1 5 15 1071 1710 50 15 96.875275 case 5 1 23 1 5 16 1130 1710 25 15 96.886177 on 5 1 23 1 5 17 1163 1706 38 18 96.886177 this 5 1 23 1 5 18 1209 1705 48 20 96.369164 form 5 1 23 1 5 19 1267 1710 72 14 96.743858 means 5 1 23 1 5 20 1348 1705 41 20 96.331665 that 5 1 23 1 5 21 1397 1706 11 19 96.947853 it 5 1 23 1 5 22 1415 1705 33 19 96.892036 will 5 1 23 1 5 23 1457 1705 26 19 96.882591 be 5 1 23 1 5 24 1492 1706 80 22 96.858391 exempt 4 1 23 1 6 0 115 1735 1429 25 -1 5 1 23 1 6 1 115 1737 47 18 96.209999 from 5 1 23 1 6 2 172 1737 32 18 96.973900 the 5 1 23 1 6 3 213 1736 79 24 92.732338 general 5 1 23 1 6 4 301 1735 169 20 92.339691 time-for-service 5 1 23 1 6 5 479 1735 142 24 96.296143 requirements 5 1 23 1 6 6 630 1735 39 19 96.549423 and 5 1 23 1 6 7 678 1740 50 14 96.057594 case 5 1 23 1 6 8 737 1737 144 22 96.498123 management 5 1 23 1 6 9 890 1735 58 22 96.988617 rules, 5 1 23 1 6 10 958 1736 70 18 93.792152 unless 5 1 23 1 6 11 1037 1741 11 13 96.233734 a 5 1 23 1 6 12 1057 1735 108 19 96.387726 defendant 5 1 23 1 6 13 1173 1735 42 19 96.606827 files 5 1 23 1 6 14 1230 1740 6 14 96.789421 a 5 1 23 1 6 15 1245 1736 120 23 96.572487 responsive 5 1 23 1 6 16 1374 1735 96 24 96.686386 pleading. 5 1 23 1 6 17 1480 1735 17 18 96.322937 A 5 1 23 1 6 18 1505 1735 39 19 96.322937 rule 4 1 23 1 7 0 115 1765 1178 24 -1 5 1 23 1 7 1 115 1767 60 18 96.056808 3.740 5 1 23 1 7 2 184 1766 112 19 96.770393 collections 5 1 23 1 7 3 305 1771 50 14 96.877350 case 5 1 23 1 7 4 364 1765 33 19 96.587761 will 5 1 23 1 7 5 406 1765 25 19 96.587761 be 5 1 23 1 7 6 440 1765 77 24 96.730354 subject 5 1 23 1 7 7 525 1766 20 18 96.891083 to 5 1 23 1 7 8 553 1765 32 19 96.916946 the 5 1 23 1 7 9 595 1765 142 24 96.874397 requirements 5 1 23 1 7 10 745 1765 28 19 96.275574 for 5 1 23 1 7 11 781 1765 78 19 96.275574 service 5 1 23 1 7 12 867 1765 40 19 96.708458 and 5 1 23 1 7 13 917 1765 97 24 96.746613 obtaining 5 1 23 1 7 14 1024 1770 11 14 94.889832 a 5 1 23 1 7 15 1043 1765 102 24 94.889832 judgment 5 1 23 1 7 16 1154 1765 16 19 96.616699 in 5 1 23 1 7 17 1180 1765 38 19 96.616699 rule 5 1 23 1 7 18 1228 1765 65 19 96.171837 3.740. 3 1 23 2 0 0 115 1801 1477 174 -1 4 1 23 2 1 0 115 1801 1428 24 -1 5 1 23 2 1 1 115 1802 30 19 95.322617 To 5 1 23 2 1 2 154 1802 78 19 96.642380 Parties 5 1 23 2 1 3 241 1802 20 18 96.690125 in 5 1 23 2 1 4 270 1801 103 24 96.556236 Complex 5 1 23 2 1 5 382 1801 77 19 96.105492 Cases. 5 1 23 2 1 6 469 1801 17 18 95.264984 In 5 1 23 2 1 7 496 1801 89 23 96.750427 complex 5 1 23 2 1 8 594 1805 63 15 96.540695 cases 5 1 23 2 1 9 666 1801 49 24 96.745384 only, 5 1 23 2 1 10 725 1801 72 23 96.180031 parties 5 1 23 2 1 11 807 1802 52 18 96.198158 must 5 1 23 2 1 12 867 1801 45 19 96.198158 also 5 1 23 2 1 13 921 1805 37 14 96.092041 use 5 1 23 2 1 14 967 1801 33 19 96.092041 the 5 1 23 2 1 15 1009 1801 44 19 96.446396 Civil 5 1 23 2 1 16 1063 1801 55 19 96.316200 Case 5 1 23 2 1 17 1127 1801 65 19 96.316200 Cover 5 1 23 2 1 18 1200 1801 63 19 96.796516 Sheet 5 1 23 2 1 19 1271 1802 20 17 96.465858 to 5 1 23 2 1 20 1299 1801 107 24 96.846115 designate 5 1 23 2 1 21 1414 1801 88 18 96.643448 whether 5 1 23 2 1 22 1509 1801 34 18 96.399437 the 4 1 23 2 2 0 115 1831 1451 24 -1 5 1 23 2 2 1 115 1837 51 14 96.630043 case 5 1 23 2 2 2 175 1832 16 19 96.535728 is 5 1 23 2 2 3 199 1832 94 23 96.729492 complex. 5 1 23 2 2 4 305 1831 12 19 89.833549 If 5 1 23 2 2 5 325 1836 11 14 93.846382 a 5 1 23 2 2 6 345 1831 78 24 93.846382 plaintiff 5 1 23 2 2 7 431 1831 88 19 96.600685 believes 5 1 23 2 2 8 528 1831 33 19 96.626495 the 5 1 23 2 2 9 570 1835 49 15 96.626495 case 5 1 23 2 2 10 629 1831 15 19 96.909782 is 5 1 23 2 2 11 653 1831 91 24 96.445015 complex 5 1 23 2 2 12 753 1831 62 19 96.272018 under 5 1 23 2 2 13 823 1831 40 19 96.613953 rule 5 1 23 2 2 14 872 1831 61 19 96.329781 3.400 5 1 23 2 2 15 942 1831 20 19 95.886208 of 5 1 23 2 2 16 969 1831 32 19 96.446793 the 5 1 23 2 2 17 1010 1831 103 19 96.958870 California 5 1 23 2 2 18 1123 1831 60 19 96.974709 Rules 5 1 23 2 2 19 1192 1831 20 19 97.009148 of 5 1 23 2 2 20 1219 1831 65 22 96.638847 Court, 5 1 23 2 2 21 1293 1831 38 19 96.993294 this 5

2 13 823 1831 40 19 96.613953 rule 5 1 23 2 2 14 872 1831 61 19 96.329781 3.400 5 1 23 2 2 15 942 1831 20 19 95.886208 of 5 1 23 2 2 16 969 1831 32 19 96.446793 the 5 1 23 2 2 17 1010 1831 103 19 96.958870 California 5 1 23 2 2 18 1123 1831 60 19 96.974709 Rules 5 1 23 2 2 19 1192 1831 20 19 97.009148 of 5 1 23 2 2 20 1219 1831 65 22 96.638847 Court, 5 1 23 2 2 21 1293 1831 38 19 96.993294 this 5 1 23 2 2 22 1341 1832 52 18 96.878830 must 5 1 23 2 2 23 1401 1831 26 19 96.649277 be 5 1 23 2 2 24 1436 1831 97 18 96.565720 indicated 5 1 23 2 2 25 1542 1831 24 23 97.005379 by 4 1 23 2 3 0 115 1861 1472 25 -1 5 1 23 2 3 1 115 1862 117 24 96.105972 completing 5 1 23 2 3 2 240 1862 33 19 96.510674 the 5 1 23 2 3 3 282 1861 123 24 96.964943 appropriate 5 1 23 2 3 4 415 1861 64 19 96.479034 boxes 5 1 23 2 3 5 488 1861 16 18 95.461945 in 5 1 23 2 3 6 514 1861 57 18 95.461945 items 5 1 23 2 3 7 581 1861 7 18 96.043205 1 5 1 23 2 3 8 600 1861 39 19 96.043205 and 5 1 23 2 3 9 648 1861 17 18 95.216667 2. 5 1 23 2 3 10 676 1861 13 18 94.474884 If 5 1 23 2 3 11 696 1866 11 14 94.474884 a 5 1 23 2 3 12 717 1861 78 23 96.051361 plaintiff 5 1 23 2 3 13 802 1861 120 24 96.488289 designates 5 1 23 2 3 14 931 1866 11 14 96.965088 a 5 1 23 2 3 15 952 1865 49 15 96.937363 case 5 1 23 2 3 16 1011 1866 24 14 96.393066 as 5 1 23 2 3 17 1044 1861 95 23 96.393066 complex, 5 1 23 2 3 18 1149 1861 33 19 96.781067 the 5 1 23 2 3 19 1191 1865 60 15 96.942657 cover 5 1 23 2 3 20 1259 1861 59 19 96.268562 sheet 5 1 23 2 3 21 1327 1862 52 18 96.534050 must 5 1 23 2 3 22 1388 1861 25 19 96.534050 be 5 1 23 2 3 23 1422 1861 72 19 96.895493 served 5 1 23 2 3 24 1503 1861 42 18 96.241508 with 5 1 23 2 3 25 1554 1861 33 18 96.241508 the 4 1 23 2 4 0 115 1891 1403 24 -1 5 1 23 2 4 1 115 1892 104 23 96.658157 complaint 5 1 23 2 4 2 228 1897 24 14 94.466812 on 5 1 23 2 4 3 261 1892 23 18 94.466812 all 5 1 23 2 4 4 293 1892 72 23 96.981537 parties 5 1 23 2 4 5 374 1893 19 17 96.851059 to 5 1 23 2 4 6 401 1891 33 18 96.960960 the 5 1 23 2 4 7 443 1891 70 18 96.932564 action. 5 1 23 2 4 8 522 1891 16 18 96.990814 A 5 1 23 2 4 9 546 1891 109 18 96.475052 defendant 5 1 23 2 4 10 663 1895 45 19 96.591042 may 5 1 23 2 4 11 717 1891 30 18 95.844543 file 5 1 23 2 4 12 756 1891 38 19 95.844543 and 5 1 23 2 4 13 804 1895 59 15 96.417107 serve 5 1 23 2 4 14 872 1896 26 13 96.879631 no 5 1 23 2 4 15 908 1891 47 19 93.348091 later 5 1 23 2 4 16 962 1891 46 19 96.870102 than 5 1 23 2 4 17 1017 1891 33 19 97.000954 the 5 1 23 2 4 18 1059 1891 45 19 96.979698 time 5 1 23 2 4 19 1113 1891 20 18 96.909737 of 5 1 23 2 4 20 1141 1891 22 19 96.909737 its 5 1 23 2 4 21 1172 1891 38 18 96.529633 first 5 1 23 2 4 22 1218 1895 130 19 94.875755 appearance 5 1 23 2 4 23 1357 1895 12 14 92.520927 a 5 1 23 2 4 24 1377 1891 74 24 92.504547 joinder 5 1 23 2 4 25 1459 1891 17 18 96.769562 in 5 1 23 2 4 26 1485 1891 33 18 96.536659 the 4 1 23 2 5 0 116 1921 1476 25 -1 5 1 23 2 5 1 116 1922 92 24 88.887772 plaintiffs 5 1 23 2 5 2 217 1921 129 24 96.767647 designation, 5 1 23 2 5 3 357 1926 11 14 93.172928 a 5 1 23 2 5 4 378 1921 214 24 93.055031 counter-designation 5 1 23 2 5 5 601 1921 40 18 96.792664 that 5 1 23 2 5 6 649 1921 33 19 96.516029 the 5 1 23 2 5 7 691 1925 50 15 96.992035 case 5 1 23 2 5 8 751 1921 15 18 96.982971 is 5 1 23 2 5 9 776 1922 32 17 96.655899 not 5 1 23 2 5 10 816 1921 98 24 95.624123 complex, 5 1 23 2 5 11 925 1925 24 17 95.517776 or, 5 1 23 2 5 12 960 1921 11 18 95.665138 if 5 1 23 2 5 13 979 1921 32 19 95.665138 the 5 1 23 2 5 14 1021 1921 78 23 96.455894 plaintiff 5 1 23 2 5 15 1107 1921 37 18 96.455894 has 5 1 23 2 5 16 1153 1921 59 18 96.925507 made 5 1 23 2 5 17 1221 1925 26 14 96.051956 no 5 1 23 2 5 18 1256 1921 131 24 96.051956 designation, 5 1 23 2 5 19 1398 1925 11 14 97.005882 a 5 1 23 2 5 20 1419 1921 124 23 96.261520 designation 5 1 23 2 5 21 1552 1921 40 18 96.261520 that 4 1 23 2 6 0 115 1952 220 23 -1 5 1 23 2 6 1 115 1952 33 19 96.881325 the 5 1 23 2 6 2 157 1957 50 14 96.802925 case 5 1 23 2 6 3 216 1952 15 19 96.801300 is 5 1 23 2 6 4 239 1952 96 23 96.684563 complex. 2 1 24 0 0 0 983 1989 613 19 -1 3 1 24 1 0 0 983 1989 613 19 -1 4 1 24 1 1 0 983 1989 613 19 -1 5 1 24 1 1 1 983 1989 47 19 96.566963 SEE 5 1 24 1 1 2 1040 1989 67 19 96.566963 PAGE 5 1 24 1 1 3 1117 1989 11 19 96.218826 3 5 1 24 1 1 4 1137 1989 50 19 96.196045 FOR 5 1 24 1 1 5 1196 1989 174 19 96.194031 INFORMATION 5 1 24 1 1 6 1380 1989 135 19 96.085976 PURPOSES 5 1 24 1 1 7 1524 1989 72 19 96.598907 ONLY. 2 1 25 0 0 0 116 2045 1485 26 -1 3 1 25 1 0 0 116 2045 1485 26 -1 4 1 25 1 1 0 116 2045 1485 26 -1 5 1 25 1 1 1 116 2046 28 13 64.447372 Rev. 5 1 25 1 1 2 155 2046 44 16 64.447372 July 5 1 25 1 1 3 190 2038 12 45 70.027626 1, 5 1 25 1 1 4 206 2045 34 14 70.027626 2028 5 1 25 1 1 5 677 2046 68 25 96.434906 Civil 5 1 25 1 1 6 757 2046 76 25 95.761879 Case 5 1 25 1 1 7 845 2046 94 25 96.659546 Cover 5 1 25 1 1 8 950 2046 88 25 96.641060 Sheet 5 1 25 1 1 9 1391 2045 90 22 24.315538 CM-010, 5 1 25 1 1 10 1491 2047 50 21 96.783447 Page 5 1 25 1 1 11 1548 2047 10 17 96.135651 2 5 1 25 1 1 12 1566 2047 18 17 95.843407 of 5 1 25 1 1 13 1591 2047 10 17 95.843407 3 2 1 26 0 0 0 1558 2078 43 28 -1 3 1 26 1 0 0 1558 2078 43 28 -1 4 1 26 1 1 0 1558 2078 43 28 -1 5 1 26 1 1 1 1558 2078 43 28 90.968109 > 2 1 27 0 0 0 114 2023 1489 8 -1 3 1 27 1 0 0 114 2023 1489 8 -1 4 1 27 1 1 0 114 2023 1489 8 -1 5 1 27 1 1 1 114 2023 1489 8 95.000000

CASE TYPES AND EXAMPLES CM-010 The list below provides explanations and examples for the case type checkboxes listed in item 1 on this form. The lists of examples below are not meant to be exhaustive, and some case types may have causes of action not listed here. Auto Tort Auto (22)-Personal Injury/Property Damage/ Wrongful Death Uninsured Motorist (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) (46) Asbestos Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/Wrongful Death Other PI/PD/WD (Personal Injury/ Property Damage/Wrongful Death) Tort Product Liability (not asbestos or environmentaltoxic tort) (24) Medical Malpractice (45) Medical Malpractice—Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PD/WD (e.g., assault, vandalism) Intentional Infliction of Emotional Distress Negligent infliction of Emotional Distress Other PI/PD/WD Non-Pl/PD/WD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (not civil harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (other than contract) (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical) Other Non-PI/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (15) Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach—Seller Plaintiff (not fraud) Negligent Breach of Contract/Warranty Other Breach of Contract/Warranty Song-Beverly Act: Motor Vehicle Lemon Law (check this item if the case involves a Song- Beverly Act claim regarding a motor vehicle) (49) Rule 3.740 Collections (as defined in Cal. Rules of Court, rule 3.740(a)) (09) Other Collections (e.g., money owed, open book accounts, promissory note) (09) Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not unlawful detainer) Unlawful Detainer Commercial (31) Residential (32) Drugs (if the case involves illegal drugs, check this item; otherwise, choose Commercial or Residential) (38) Judicial Review Asset Forfeiture (05) Petition re Arbitration Award (11) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Employment Development Department (EDD) EDD Decision Review (if the case involves an Employment Development Department decision, check this item instead of wrongful termination or other employment) (48) Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.400-3.404) Antitrust/Trade Regulation (03) Construction Defect (10) Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30) Comprehensive Groundwater Adjudication (47) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non-domestic relations) Sister-State Judgment Administrative Agency Award Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Compiaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non-harassment) Mechanic's Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tort/ non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief From Government Claim Requirement Other Civil Petition Rev. July 1, 2026 Civil Case Cover Sheet CM-010, Page 3 of 3

NC-500-INFO INSTRUCTIONS FOR FILING PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER

1. Who Can File Anyone who lives in California or was born here (or got married or had children here) can ask a court for an order recognizing a change of gender and sex identifier and for issuance of a new birth certificate reflecting that change. If the person asking for the order is under 18, the petition must be made on form NC-500 and signed by an adult. (If the person is 18 or older, use form NC-300.) The petition for a minor must be signed by at least one of the following (it can be signed by more than one): @ One or more of the minor's parents e The minor's guardian e Anattorney appointed to act as guardian ad litem for a dependent minor (under Welfare and Institutions Code section 326.5) e An attorney representing a minor in the juvenile justice system (under Welfare and Institutions Code section 601 or 602) e = If all of minor's parents are deceased and no guardian has been appointed, a near relative or friend If the child has more than two legal parents, please attach form MC-025 to the petition and explain.
2. Where to File Petition for Recognition of Minor's Change of Gender and Sex Identifier and for Issuance of New Birth Certificate and Change of Name (form NC-500) may be filed in the superior court of any county in California, but if the petition includes a request to change the minor's name, it must be filed: e Ifthe minor is a California resident, in the superior court where the minor presently resides; or e |fthe minor is not a California resident, in the superior court in the county where the minor's birth certificate was issued. If the petition is filed by an attorney appointed as guardian ad litem for a dependent minor, or one representing a minor alleged or adjudged to be a person described in Welfare and Institutions Code section 601 or 602, the petition must be filed in the court having jurisdiction over the minor.
3. What Forms Are Required All petitioners need an original and two copies of each of the following forms:

• Petition for Recognition of Minor's Change of Gender and Sex Identifier and for Issuance of New Birth Certificate and Change of Name (form NC-500) e Order Recognizing Minor’s Change of Gender and Sex Identifier and for Issuance of New Birth Certificate (form NC-530) « Civil Case Cover Sheet (form CM-010) Some petitioners will also need an original and two copies of each of the following forms: e Order to Show Cause—Recognition of Minor's Change of Gender and Issuance of New Birth Certificate (form NC-520). This form is needed if (1) the petition is not signed by all living parents of the minor; or (2) the petition is filed by a guardian, guardian ad litem, or attorney acting for a minor under Welfare and Institutions Code section 601 or 602, and all of minor's parents are deceased or cannot be located. e Declaration of Guardian or Juvenile Attorney (form NC-510G). This form is needed if the petition is filed by a guardian, by an attorney guardian ad litem, or an attorney acting for a minor under Welfare and Institutions Code section 601 or 602. Local courts may require additional local forms. Check with your court to determine if additional forms are required.

4. Completing the Petition Use form NC-500 only for a person under 18. (Adults seeking an order recognizing change of gender must use form NC-300.) Section of form titled Information About Petitioner: e Initem 1, provide the name of the minor and the name of the adult who is signing the petition. One of the persons listed in that item must sign. (See paragraph 1 above as to which adults can sign.) e Item 2 asserts that the petitioning minor is a California resident or is seeking a change to a California birth certificate. e {tem 3 asks whether the minor has any living parents. If the minor has any living parents who did not sign the petition, provide the name and address of any non-signing parent in item 3d. Bets 2028 Oroeita ==" — Instructions for Filing Petition for Recognition of NC-500-INFO, Page 1 of 3 1277.5; i ‘ gs Heath & Sef Gove. §6 103430, 103495 Minor's Change of Gender and Sex Identifier >

NC-500-INFO e Initem 4, check the box if the petition is signed by a guardian or dependency attorney appointed as a guardian ad litem, or an attorney acting for a minor under Welfare and Institutions Code section 601 or 602, and attach Declaration of Guardian or Juvenile Attorney (form NC-510G) to the petition. Section of form titled Request for Recognition of Change of Gender and Sex Identifier: e Initem 5, check the box to indicate what gender and sex identifier the minor wants the court to recognize as the minor's new gender and sex identifier. e Check item 6 ONLY if the petition is not signed by all living parents of the minor. This item asks the court to issue an order that will provide notice to any non-signing parent that any objections to the petition must be filed with the court within a certain time frame. e Check item 7 ONLY if the petition is (1) filed by a guardian, a guardian ad litem, or an attorney acting for a minor under Welfare and Institutions Code section 601 or 602 and (2) all of minor's parents are deceased or cannot be located. This item asks the court to issue an order that will give notice to the minor's living grandparents that any objections to the petition must be filed with the court within a certain time frame. Section of form titled Request for issuance of New California Certificate: e Check item 8 if the minor has previously obtained a decree of name change and wants to have their birth certificate reissued to reflect this name change. If checked, a certified copy of the name change decree must be attached. (if item 8 is checked, you do not need to complete item 10.) e Initem 9, check the box to request that the court order that a new birth certificate be issued that will reflect the gender change to be recognized by the court as well as any name change being sought by the petition. Section of form titled Request for Change of Name: Note: If the petition is not asking the court to change the name of the minor or to have minor's birth certificate reflect a prior name change, do not complete items 8 and 10 on the form. If the minor wants their name changed on their birth certificate, follow the instructions above. e If requesting a change of name, check the box And 5 1 17 1 1 12 771 1035 86 24 96.412506 Change 5 1 17 1 1 13 865 1035 21 19 96.943710 of 5 1 17 1 1 14 893 1036 72 18 81.718315 Name at the top part of form NC-500. « Initem 10a, complete the minor's current legal name, proposed legal name, date of birth, place of birth, sex as indicated on their birth certificate, and current address. e Initem 10b, check the box indicating the relationship of the petitioner to the minor. e Initem 10c, check the box showing why the name change petition may be filed in a particular court. e Initem 10d, provide the names and addresses of the parents or, if applicable, near relatives of the minor. e Item 10e asks the court to issue an order that will give notice to all interested persons that any objections to the name change petition must be filed with the court within a certain time frame. If the petition is not signed by all living parents of the minor, check this item. Remaining items on form e Initem 11, list the number of pages attached to the petition. e First Declaration: The minor may complete (by filling out the minor's name and checking the box identifying the new gender) and sign the declaration that appears in the text box. Note that it is signed under penalty of perjury. The adult named in item 1 must also sign the form, and any living parent may also sign. Filing and Filing Fee Prepare an original Civil Case Cover Sheet (form CM-010). File with the clerk of the court the original petition and any attachments or orders to show cause required on page 1 of this information sheet with the Civil Case Cover Sheet and obtain two file-endorsed copies of the petition and any order to show cause. A filing fee will be charged unless you qualify for a fee waiver. If you want to apply for a fee waiver, see Request fo Waive Court Fees (form FW-001) and Information Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO). Rev. Sly 1, 2026 Instructions for Filing Petition for Recognition of NC-500-INFO, Page 2 of 3 Minor's Change of Gender and Sex Identifier >

NC-500-INFO 6. Orders to Show Cause and Hearing Date When an Order to Show Cause is required An order to show cause may be required with certain petitions if: e the petition is not signed by ail living parents of the minor; or e the petition is filed by a guardian, a guardian ad litem, or an attorney acting for a minor under Welfare and Institutions Code section 601 or 602 and all of minor's parents are deceased or cannot be located. If any of these conditions apply, complete the top part of an original and two copies of the Order to Show Cause—Recognition of Minor's Change of Gender and Issuance of New Birth Certificate (form NC-520) (complete the portion of the form above the title, and check the box if a name change is requested). Submit that form with the petition. The clerk will obtain the judicial signature and give you back copies. What to do with the Order to Show Cause The order to show cause must be served on certain individuals, as described below, within a set time frame: ¢ If the petition did not include the signature of all living parents of the minor, a copy of the order and the petition must be served on the nonsigning parent within four weeks of issuance of the order. e If the petition was filed by a guardian, a guardian ad litem, or an attorney acting for a minor under Welfare and Institutions Code section 601 or 602 and all of minor's parents are deceased or cannot be located, a copy of the order and the petition must be served on the minor's living grandparents within four weeks of issuance of the order. If the person to be served lives in California, the form and petition must be served in person. If they live outside California, the form may be served either in person or by first-class mail requiring return receipt. If such service is not possible, or if the person lives outside the United States, then the court may order that service be done in another way. Service must be made by someone other than the petitioner, but the petitioner must have the server complete a proof of service and file it with the court. (Form NC-221/NC-321/NC-521 may be used.) What happens next If objections are filed within six weeks of the issuance of the order to show cause, the court will set a hearing date and send you and the objectors notice of the date, time, and place. If no objections are filed, the court will make the decision based on the petition. 7. Court Hearing Check with the court after the deadline for objections to find out if a hearing will be held. If a hearing is held, bring copies of all documents to the hearing. If the judicial officer grants the petition, the judicial officer will sign the original order, form NC-530. 8. Requesting Accommodations for Disability If you have a disability and need an accommodation while you are at court, you can use Disability Accommodation Request (form MC-410) to make your request. You can also ask the court's ADA Coordinator in your court for help. For more information, see How to Request a Disability Accommodation for Court (form MC-410-INFO). 9. Birth Certificate If you were born in California, to obtain a new birth certificate reflecting the change of gender or name, file a certified copy of the order with the Secretary of State and the State Registrar and pay the applicable fees. You may write or contact the State Registrar at: California Department of Public Health Vital Records — MS 5103 Phone: 916-445-2684 P.O. Box 997410 Website: cdph.ca.gov Sacramento, CA 95899-7410 10. Self-Help Guide For more information, please visit the California Courts Self-Help Guide on gender recognition, available at selfhelp.courts.ca.gov/gender-change-recognition-order-index. Local courts may supplement these instructions. Check with the court to determine whether supplemental information is available. For instance, the court may provide you with additional written information identifying the department that handles name- and gender-change petitions, and the times when petitions are heard. Rew. duly 4.2028 Instructions for Filing Petition for Recognition of NC-500-INFO, Page 3 of 3 Minor's Change of Gender and Sex Identifier

CONFIDENTIAL NC-500 ATTORNEY OR PARTY WITHOUT ATTORNEY NAME: FIRM NAME. STREET ADDRESS: STATE BAR NUMBER: CITY: STATE: ZIP CODE: TELEPHONE NO. FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITION OF (name of each petitioner): (] AND CHANGE OF NAME PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE CASE NUMBER: INFO). seeking recognition of gender change, skip these items. Use this form only for a petition relating to a minor. (Petitioners 18 years or older must use form NC-300.) Before completing this petition, read Instructions for Filing Petition for Recognition of Minor's Change of Gender and Sex Identifier (form NC-500- If you are seeking a name change in addition to recognition of gender change, complete items 8 or 10. If you are only e = If the petition is being brought by a guardian, an attorney appointed as guardian ad litem for a dependent minor (Welf. & Inst. Code, § 326.5), or an attorney for a minor under the jurisdiction of the juvenile court (Welf. & Inst. Code, § 601 or 602), you must also complete Declaration of Guardian or Juvenile Attorney (form NC-510G). INFORMATION ABOUT PETITIONER

1. This request is being made by (minor's current legal name): a. [[] parent or parents (names): b. [[] guardian (name): c. [_] attorney for minor under jurisdiction of juvenile court (name): d and (check one of the following): . [[] near relative or friend (check only if all parents of minor are deceased and no guardian has been appointed) Name and relationship to minor:
2. Petitioning minor either is a California resident or seeks a change to a California birth certificate.
3. Parents of minor (check one item below): a. (-] The minor has no living parent. b. [[] The minor has no living parent other than the parent or parents who have signed this petition. c. [] Neither the minor nor the adult petitioner has any information about whether any nonsigning parent is living. d. [[] The minor has one or more living parents who have not signed the petition (specify names and addresses): Parent's Name: Address: Parent's Name: Address: (_] Continued (Check this box if you need additional space. Attach a sheet of paper and write Attachment 5 1 36 1 1 19 1377 1695 35 20 88.452881 3a for a title.)
4. [ (Check if petition is filed by a guardian or attomey appointed for minor under jurisdiction of juvenile court.) This petition is supported by the information contained in attached Declaration of Guardian or Juvenile Attorney (form NC-510G). REQUEST FOR RECOGNITION OF CHANGE OF GENDER AND SEX IDENTIFIER
5. Petitioners request a decree recognizing that minor's gender and sex identifier is changed to: a. [] female. b.[-] male. c. [] nonbinary. Judicial Council of California, courts,ca,gov Rev. July 1, 2026, Mandatory Form Code Civ. Proc., § 1277.5, Health & Saf. Code, §§ 103430, 103435 Petition for Recognition of Minor's Change of Gender and Sex Identifier and for Issuance NC-500, Page 1 of 3 of New Birth Certificate and Change of Name >

CONFIDENTIAL NC-500 PET! ITION OF (name of each petitioner): CASE NUMBER: 6. [] (Check if petition does not include the signature of all living parents.) Petitioners request that the court issue an order on form NC-520 directing any living parent who did not sign this petition to file written objections to show cause why this petition for recognition of minor's change of gender and sex identifier should not be granted. (Form NC-520 is filed along with this document.) 7. £1 (Check if petition is filed by a guardian or guardian ad litem for minor and alt parents are deceased or cannot be located.) REQ Petitioners request that the court issue an order on form NC-520 directing that any living grandparent file written objections to show cause why this petition for recognition of minor's change of gender and sex identifier should not be granted. (Form NC-520 is filed along with this document.) UEST FOR ISSUANCE OF NEW CALIFORNIA CERTIFICATE 8. [] Adecree of change of name for the minor has already been obtained, and a certified copy of the decree is attached. 9. [-] Petitioners request the court to order that a new birth certificate be issued reflecting the recognition of gender change and any REQ name change sought by this petition. UEST FOR CHANGE OF NAME 10.[-] Petitioner applies for a decree to change the name of the following minor to conform to their gender identity: a. The minor's information is included below: (1) Current legal name (specify): (2) Proposed legal name (specify): (3) Born on (date of birth): and presently under 18 years of age. (4) Born at (place of birth): (5) Sex as stated on birth certificate (check one; if your birth certificate reflects a nonbinary (X) gender marker, check the box shown on the original birth certificate for the purpose of a federal database search): [_] Male [] Female (6) Current residence address (street): City: County: State: Zip: Relationship of the petitioner to the person whose name will be changed: (1) [-] Parent (4) [[] Near relative (indicate relationship): (2) [] Guardian (5) ([] Other (specify): (3) [[] Guardian ad litem or attorney for minor appointed by juvenile court This is the right court for the petition to change name because minor (check (1) or (2)): (1) [1] is a resident of this county. (2) [] does not reside in California and wants to change their birth certificate that was issued in this county. Provide the names and addresses, if known, of the following persons: (1) Parent (name): (address): (2) Parent (name): (address): (3) (Only if neither parent is living) Near relatives (names, relationships, and addresses): . [) (Check if petition does not include the signature of all living parents.) Petitioners request that the court issue an order on form NC-520 directing all interested persons to file written objections to show cause why the petition for change of name should not be granted. (Form NC-520 is filed along with this document.) 11. Number of pages attached (specify number): Rev. July 1, 2026 Petition for Recognition of Minor's Change NC-500, Page 2 of 3 of Gender and Sex Identifier and for Issuance of New Birth Certificate and Change of Name >

CONFIDENTIAL NC-500 PETITION OF (name of each petitioner): CASE NUMBER: DECLARATION

| (minor's current legal name): declare under penalty of perjury under the

laws of the State of California that the request for a change in gender to (check one) [] female [] male (] nonbinary is to conform my legal gender to my gender identity and is not for any fraudulent purpose.

Type or Print Name of Minor (Use Current Legal Name) Signature of Minor Date: (Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last attachment.) | declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is true and correct. Date: » Type or Print Name of Petitioning Adult Signature of Petitioning Adult Date: Type or Print Name of Petitioning Adult Signature of Petitioning Adult (If petitioner is represented by an attorney, attorney's signature follows.) Date: Type or Print Name of Petitioner's Attorney Signature of Petitioner's Attorney (4) Add additional signature lines for additional petitioners (-] Signature of petitioners follows last attachment Rev. July 1, 2026 Petition for Recognition of Minor's Change NC-500, Page 3 of 3 of Gender and Sex Identifier and for Issuance of New Birth Certificate and Change of Name

CONFIDENTIAL NC-510G PETITION OF (name of petitioner or petitioners): CASE NUMBER FOR CHANGE OF GENDER (Minor) DECLARATION OF GUARDIAN OR JUVENILE ATTORNEY (Attachment to Form NC-500) Court-appointed guardians must fill out all items on this page. An attorney appointed as guardian ad litem for a dependent minor (Welf. & Inst. Code, § 326.5) must complete items 1-4. An attomey for a minor under the jurisdiction of the juvenile court (Welf. & Inst. Code, § 601 or 602) must complete items 1-4.

1. a. Petitioner (name): b. Address (street, city, county, and zip code):
2. a. Minor seeking recognition of gender change (current legal name of minor): . Address (street, city, county, and zip code): o
3. Petitioner was appointed guardian for minor or is attorney for minor who is under the jurisdiction of the juvenile court as follows: a. Superior Court of California, County of (name): b. Department (check one): [_] Juvenile (1) Probate c. Case number (specify): d. Date of appointment (if applicable):
4. Ifall parents are deceased or cannot be located, provide the following information for the minor's living grandparents (if known): a. Grandparent's Name: Address: b. Grandparent's Name: Address: c. Grandparent's Name: Address: d. Grandparent's Name: Address: (1 Neither the minor nor the petitioner has any information about whether any of minor's grandparents are living.
5. The minor identified in item 2 is likely to remain under the guardian's care until the minor reaches the age of majority because (explain): (1 Continued (For additional space, check the box, and attach a sheet of paper titled Attachment 5 1 17 1 1 17 1247 1363 24 18 96.307343 5 to this declaration.)
6. The minor identified in item 2 is not likely to be returned to the custody of the parents because (explain): () Continued (For additional space, check the box, and attach a sheet of paper titled Attachment 5 1 18 1 1 17 1248 1550 23 19 96.447548 6 to this declaration.)
7. Other relevant information about the guardianship and why the proposed change is in the best interest of the minor (specify): (1) Continued (For additional space, check the box, and attach a sheet of paper titled Attachment 5 1 19 1 1 17 1249 1740 21 17 90.635536 7 to this declaration.)

| declare under penalty of perjury under the laws of the State of California that the information in the foregoing declaration is true and

correct. Date: Type or Print Name Signature of Petitioner Guardian of (current legal name of minor): i it of Ci nia, courts.ca.gov. . . . 7 Ran ay 1 D028, Mendota eae oa Declaration of Guardian or Juvenile Attorney NC-510G, Page 1 of 1 Code Civ. Proc,, § 1275 : . Featth & Sof Goss § 103400" (Attachment to Form NC-500)

CONFIDENTIAL NC-520 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: city STATE: ZIP CODE: TELEPHONE NO. FAX NO.: EMAIL ADDRESS ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS CITY AND ZIP CODE: BRANCH NAME: PETITION OF (name of each petitioner): FOR CHANGE OF GENDER (Minor) ORDER TO SHOW CAUSE—RECOGNITION OF MINOR'S CHANGE OF _| CASE NuMBER: GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE (] and CHANGE OF NAME

1. NAME CHANGE (] TO ALL INTERESTED PERSONS (Check only if the petition (form NC-500) includes a request for change of name. If not checked, go to item 2. ) a. A petition has been filed seeking change of name from (minor's current legal name): to (proposed legal name): b. THE COURT ORDERS that any person objecting to the name change described above must file a written objection that includes the reasons for the objection within six weeks of the date this order is issued. If no written objection is timely filed, the court will grant the petition without a hearing after the completion of the six weeks, except as provided in Code of Civil Procedure section 1279.5. c. Objections based solely on concerns that the proposed change is not the person's actual gender identity or gender assigned at birth do not constitute good cause. (See Code Civ. Proc., § 1277.5(b).)
2. GENDER AND SEX IDENTIFIER CHANGE (1) TO ANY LIVING PARENT OF MINOR WHO DID NOT SIGN PETITION (Check only if the petition (form NC-500) was not signed by all living parents of minor.) (_] TO ALL LIVING GRANDPARENTS OF MINOR (Check only if the petition (form NC-500) was brought by a guardian, a dependency attorney appointed as guardian ad litem, or an attorney acting for a minor under Weifare and Institutions Code section 601 or 602, and all parents are deceased or cannot be located.) a. Petitioner (name of petitioning adult): filed a petition on behalf of (current legal name of minor): requesting a decree recognizing that minor's gender and sex identifier is changed to (1) (] female (2) [] male (3) [] nonbinary and an order for issuance of a new birth certificate reflecting minor's changed gender and sex identifier. b. THE COURT ORDERS that any living parent or, if all parents are deceased or cannot be located, all living grandparents show cause, if any, why the petition should not be granted by filing a written objection that includes any reasons for the objection within six weeks of the date this order is issued. If no written objection is timely filed, the court will grant the petition without a hearing after the completion of the six weeks. c¢. Objections based solely on the minor's actual gender identity or gender assigned at birth do not constitute good cause. (See Health & Saf. Code, § 103430(h).) Date: Judicial Officer Judicial Council of California, courts.ca,gov dud Cou of Castor, cout Order to Show Cause—Recognition of Minor's NC-520, Page 1 of 1 Health & Saf. Code, § 103430(e) Change of Gender and Issuance of New Birth Certificate

CONFIDENTIAL NC-530 ATTORNEY OR PARTY WITHOUT ATTORNEY NAME: FIRM NAME: STREET ADDRESS: CITY: TELEPHONE NO. EMAIL ADDRESS: ATTORNEY FOR (name): STATE BAR NUMBER: STATE: ZIP CODE: FAX NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS. CITY AND ZIP CODE: BRANCH NAME: PETITION OF (name of each petitioner): FOR CHANGE OF GENDER (Minor) ORDER RECOGNIZING MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE ( and DECREE CHANGING NAME FOR COURT USE ONLY CASE NUMBER:

1. The petition was duly considered a. [[] atthe hearing on (date): b. [-] without a hearing. THE COURT FINDS in courtroom:
2. [] Petitioner is a California resident or seeks a change to a California birth certificate.
3. a. All notices required by law have been given. of the above-entitled court. b. The following person seeking recognition of a change of gender and sex identifier is a minor (specify current legal name): . [| The petition includes a request regarding a change of name. (2) [7] A certified copy of a court decree changing minor's name was attached to the petition. c (1) ([] Petitioner requests that minor's name be changed to (specify new name): (a) [-] The minor is a resident in this county. (b) [-] The minor's birth certificate was issued in this county. d. The petition was signed on behalf of the minor by (1) [2] all of minor's parents (names): (2) ([] fewer than all of minor's parents (names): (3) [-] a guardian (name): (a) The minor is likely to remain in the guardian's care until the age of majority. (b) The minor is not likely to be returned to the custody of the parents. or 602 (name): an attorney guardian ad litem appointed by the juvenile court (name): (6) [-] a near relative or friend (name and relationship to minor): (a) All of minor's parents are deceased. (b) No guardian has been appointed for minor. e. [] (Forname change) Minor [] is not This determination was made (check one) [] is O by using CLETS/CJIS [-] based on information provided to the clerk of the court by a local law enforcement agency. an attorney representing minor who is asserted to be a person described in Welfare and Institutions Code section 601 required to register as a sex offender under Penal Code section 290. Rav ly 1 3028 Mandstay Fanees™ Order Recognizing Minor's Change of Gender and Health & Saf. Code, §§ 109430, 103435 Sey Identifier and for Issuance of New Birth Certificate NC-530, Page 1 of 2 _

CONFIDENTIAL NC-530 PETITION OF (name of each petitioner): CASE NUMBER: | 3. f. [] No timely objections to the proposed changes were made. gO Objections to the proposed changes were made by (name and relationship to minor): h. [] (if objections by parent) After considering objections by minor's parent, the court is satisfied that the proposed recognition of change of gender and sex identifier (1) is in the best interest of the minor, and the petition should be granted. [-] is not in the best interest of the minor, and the petition should be denied. i. ([] The court is satisfied that all the allegations in the petition are true and sufficient, that the proposed recognition of change of gender and sex identifier (and name, if requested) are not fraudulent, and that the petition should be granted. j. ([) Other findings (if any): THE COURT ORDERS 4. [[] The gender and sex identifier of the minor identified in item 3b has been changed to a. [] female. b. [] male. ce. [-] nonbinary. THE COURT FURTHER ORDERS 5. [] The name of (legal name when petition was filed): a. [[] is changed to (new legal name): b. (] was previously changed by court decree. 6. [] Anew birth certificate must be issued reflecting the change of gender described in item 4 [-] and change of name described in item 5. If minor was born in California, a certified copy of this order shall be filed by the petitioner with the State Registrar. When the State Registrar receives a certified copy of this order and payment of the applicable fees, the State Registrar shall establish for the petitioner a new birth certificate reflecting the gender of the minor as it has been altered and any change of name specified in this order. 7. ([] Other orders: Date: Judicial Officer Rev. duly 4, 2026 Order Recognizing Minor's Change of Gender and NC-530, Page 2 of 2 Sex Identifier and for Issuance of New Birth Certificate

CONFIDENTIAL NG-224/NC-321/NC-521 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NO: NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE TELEPHONE NO.: FAX NO. EMAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE BRANCH NAME: PETITION OF (name of each petitioner): FOR CHANGE OF NAME OR GENDER TO CONFORM TO GENDER IDENTITY PROOF OF SERVICE OF ORDER TO SHOW CAUSE CASE NUMBER: BY [] PERSONAL DELIVERY [[] MAILING (OUTSIDE CALIFORNIA ONLY)

1. At the time of mailing or personal delivery, | was at least 18 years of age and not a party to this proceeding.
2. My residence or business address is (specify):
3. | personally delivered or mailed a copy of the (title of document): as follows (complete either a or b): a. [] Personal delivery. | personally delivered a copy to the person served as follows: (1) Name of person served: (2) Address where delivered: (3) Date delivered: (4) Time delivered: b. [[] Mail. | am a resident of or employed in the county where the mailing occurred. (1) | enclosed a copy in an envelope and mailed the sealed envelope to the person served by first-class mail, postage prepaid, return receipt requested, to the address outside of California listed below. (2) The envelope was addressed and mailed as follows: (a) Name of person served: (b) Address on envelope: (c) Date of mailing: (d) Place of mailing (city and state):

| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: Type or Print Name of Declarant Signature of Declarant f Calif , courts. Ca. gov j =) = . Now inly 1 2028, Mandateny en sao Proof of Service of Order to Show Cause NC-221/NC-321/NC-521 Code Civ. Proc., § 1277 (Change of Name or Gender to Conform to Gender Identity) Page 1 of f