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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 650 Wake Avenue, El Centro, CA 92243 939 West Main Street, El Centro, CA 92243 2124 Winterhaven Drive, Winterhaven, CA 92283

PETITIONER: RESPONDENT/DEFENDANT: OTHER PARENT: REQUEST AND ORDER TO CORRECT CASE NUMBER: PARTY NAME AND CASE CAPTION

This form may be used to request a correction to a party’s legal name in the court’s case management system and the case caption as listed on the Court index. THIS FORM CANNOT BE USED TO REQUEST A CHANGE TO A LEGAL NAME. To request restoration of a former name following entry of judgment in a Family Law case, use the Ex Parte Application for Restoration of Former Name after Entry of Judgement and Order (JC Form #FL-395).

Petition/Complaint filed on _______________ named petitioner respondent/defendant as ____________________________________________ whereas petitioner’s respondent’s/defendant’s legal name is ____________________________________________.

Petitioner Respondent/Defendant hereby requests that the court’s case management system and the case caption as

listed on the Court Index be updated to reflect petitioner’s respondent’s/defendant’s legal name.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct:

Date: _________________

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Type or print name Signature

ORDER
The request is GRANTED. The clerk will update the case management system and case caption on the Court Index to
reflect petitioner’s respondent’s legal name of .
The request is DENIED for the following reason(s): ____________________________________________________
____________________________________________________________
Other: _________________________________________________________________________________________

IT IS SO ORDERED.

Date: _________________ ______________________________________ Judge/Commissioner of the Superior Court

Optional Use REQUEST AND ORDER TO CORRECT www.imperial.courts.ca.gov GN-05 (Adopted 01/01/24) PARTY NAME AND CASE CAPTION