Superior Court of California, County of Sacramento
Family Law Facilitator’s Office
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Application for Name Restoration.doc
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1/7/2013
EX PARTE APPLICATION FOR RESTORATION OF FORMER
NAME - AFTER ENTRY OF JUDGMENT
Purpose of Instructions
This packet is designed to help you have your former name restored, after you have had a
Judgment entered in a dissolution case.
What Forms are Required
“Ex Parte Application for Restoration of Former Name”, FL-395
You must file the “Ex Parte Application for Restoration of Former Name”, FL-395, along
with one copy at the Family Relations Courthouse. You will also need to include a copy
of your Judgment. You may file this document either in person or by mail. If you file by
mail, be sure to enclose a self-addressed envelope with enough postage to return the filed
copy back to you. The address is:
Wm. R. Ridgeway Family Relations Court
3341 Power Inn Road, Rm. 100
Sacramento, CA 95826
There is no fee to file this form.
In order to change your name, some places, such as the Department of Motor Vehicles or
the Social Security Office, may want to see a certified copy of this Order. There is a fee
for the certification of the Order and you may request that the Order be certified and pay
the fee at the time you submit the Order or after you receive the signed Order back from
the Court. You may find the information on how to obtain certified copies of your
documents at the following link:
http://www.saccourt.ca.gov/family/records.aspx
If you have any questions you may contact the Records Department at (916) 875-3400.
FOR COURT USE ONLY
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
MARRIAGE OF
PETITIONER:
RESPONDENT:
CASE NUMBER:
EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME
AFTER ENTRY OF JUDGMENT AND ORDER
APPLICATION
1. A judgment of dissolution or nullity was entered on (date):
2. Applicant now requests that his or her former name be restored. The applicant's former name is (specify):
Date:
(SIGNATURE OF APPLICANT)
(USE CURRENT NAME)
(TYPE OR PRINT NAME)
ORDER
3. IT IS ORDERED that applicant's former name is restored to (specify):
Date:
JUDICIAL OFFICER
[SEAL]
CLERK'S CERTIFICATE
I certify that the foregoing is a true and correct copy of the original on file in my office.
Clerk, by
Date:
, Deputy
EX PARTE APPLICATION FOR RESTORATION OF FORMER NAME
AFTER ENTRY OF JUDGMENT AND ORDER
(Family Law)
Family Code, § 2080
www.courtinfo.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
FL-395 [Rev. January 1, 2003]
FL-395
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Sacramento
3341 Power Inn Road
3341 Power Inn Road
Sacramento, CA 95826
William R. Ridgeway Family Relations Courthouse
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