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NC-420Mandatory

Declaration in Support of Application to File Documents Under Seal in Name Change Proceeding Under Address Confidentiality Program (Safe at Home)

California · Judicial Council of California · Effective January 1, 2019

This form is a written statement used to ask the court to keep documents related to a name change private (under seal). It requires the person filing it to explain why keeping the records secret is necessary to protect them from danger.

The court describes it as: Explain the facts that support your request to keep the papers in your name change case confidential.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Start a case

Stage: Start a case

This form is used when someone is going through a name change and believes that keeping the court records private is necessary for their safety due to reasons like domestic violence or stalking.

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 declaration used to ask the court to keep the papers from your name change case private, or 'under seal.'
Who fills out this form?
The form is filled out by the person making the statement, who must declare that they have personal knowledge of the facts written down.
Does this form require a fee?
The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2019.

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