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NC-221Mandatory

Proof of Service of Order to Show Cause (Change of Name or Gender to Conform to Gender Identity)

California · Judicial Council of California · Effective July 1, 2026

This form is used to tell the court that you have given copies of the Order to Show Cause (for a name or gender change) to another parent or relative. It asks you to list what papers were given, who received them, where, when, and how they were given.

The court describes it as: Tells the court that you had the Order to Show Cause and other forms delivered to (served on) the other parent or relatives in a case related to gender identity. Lists the papers that were served and tells who they were served on, where, when, and how they were served, and who served them.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Judgment

Stage: Judgment

This form is used in a case about changing a name or gender to match one's gender identity, after the Order to Show Cause has been issued.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

What is this form for?
This form is a Proof of Service, which means it proves to the court that you delivered the Order to Show Cause to another person. It is used in name or gender change cases.
Who fills out this form?
The form requires the person who served the documents to fill it out. They must declare that the information is true under penalty of perjury.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2026.

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