Declaration of Guardian or Juvenile Attorney

Cal. Form PKT-048

California Superior Local Rules

PKT-048 (Rev. 7/26) SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN DIEGO MINOR’S CHANGE OF GENDER AND SEX IDENTIFIER, ISSUANCE OF NEW BIRTH CERTIFICATE AND CHANGE OF NAME PACKET (MINOR) FORMS INCLUDED IN THIS PACKET Civil Case Cover Sheet Judicial Council Form #CM-010 Instructions for Filing Petition for Recognition of Minor’s Change of Gender and Sex Identifier Judicial Council Form #NC-500-INFO Petition for Recognition of Minor’s Change of Gender and Sex Identifier and for Issuance of New Birth Certificate and Change of Name Judicial Council Form #NC-500 Declaration of Guardian or Juvenile Attorney (Attachment to Form NC- 500) Judicial Council Form #NC-510G Order Recognizing Minor’s Change of Gender and Sex Identifier and for Issuance of New Birth Certificate Judicial Council Form #NC-530 Order to Show Cause – Recognition of Minor’s Change of Gender and Issuance of New Birth Certificate Judicial Council Form #NC-520 Proof of Service of Order to Show Cause (Change of Name or Gender to Conform to Gender Identity) Judicial Council Form #NC-521

Judicial Council of California, courts.ca.gov Rev. July 1, 2026, Mandatory Form Cal. 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 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S.

MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 CASE NAME: CIVIL CASE COVER SHEET Unlimited (Amount demanded exceeds $35,000) Limited (Amount demanded is $35,000 or less) Complex Case Designation Counter Joinder Filed with first appearance by defendant (Cal. Rules of Court, rule 3.402) FOR COURT USE ONLY CASE NUMBER: JUDGE: 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 Asbestos

(04) Other PI/PD/WD (Personal Injury/Property Damage/Wrongful Death) Tort Product liability

(24) Medical malpractice

(45) Other PI/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) Employment Wrongful termination

(36) Other employment

(15) Contract Breach of contract/warranty

(06) Rule 3.740 collections

(09) Other collections

(09) Insurance coverage

(18) Other contract

(37) Song-Beverly Act: Motor Vehicle Lemon Law

(49) Real Property Eminent domain/Inverse condemnation

(14) Wrongful eviction

(33) Other real property

(26) Unlawful Detainer Commercial

(31) Residential

(32) Drugs

(38) Judicial Review Asset forfeiture

(05) Petition re arbitration award

(11) Writ of mandate

(02) Other judicial review

(39) 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) Insurance coverage claims arising from the above listed provisionally complex case types

(41) Enforcement of Judgment Enforcement of judgment

(20) Miscellaneous Civil Complaint RICO

(27) Other complaint (not specified above)

(42) Miscellaneous Civil Petition Partnership and corporate governance

(21) Other petition (not specified above)

(43) CM-010, Page 1 of 3 TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name):

Rev. July 1, 2026 Civil Case Cover Sheet CM-010 2. Yes NoIs this case complex under rule 3.400 of the California Rules of Court? If the case is complex, mark the factors requiring exceptional judicial management: a. Large number of separately represented parties b. Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve c. Substantial amount of documentary evidence d. Large number of witnesses e. Coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal court f.

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.) Date: Type or print name Signature of party or attorney for party 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 all 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. NOTICE 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 case" under rule 3.740 of the California Rules of Court is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $35,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment.

The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex.

If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. SEE PAGE 3 FOR INFORMATION PURPOSES ONLY. CM-010, Page 2 of 3

Rev. July 1, 2026 Civil Case Cover Sheet CM-010 CASE TYPES AND EXAMPLES 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 environmental/toxic 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-PI/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 Complaint 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 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. CM-010, Page 3 of 3

INSTRUCTIONS FOR FILING PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER Page 1 of 3 INSTRUCTIONS FOR FILING PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER Form Approved for Optional Use Judicial Council of California NC-500-INFO [Rev. January 1, 2023] 4. 3.

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)   Order Recognizing Minor's Change of Gender and Sex Identifier and for Issuance of New Birth Certificate (form NC-530) Where to File The 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: 2.

Civil Case Cover Sheet (form CM-010) NC-500-INFO 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.) In item 1, provide the name of the minor and the name and relationship 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.)  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): 1. One or more of the minor's parents An attorney representing a minor in the juvenile justice system (under Welfare and Institutions Code

section 601 or 602) An attorney appointed to act as guardian ad litem for a dependent minor (under Welfare and Institutions Code

section 326.5) The minor's guardian If all of minor's parents are deceased and no guardian has been appointed, a near relative or friend 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.  Some petitioners will also need an original and two copies of each of the following forms: Code of Civil Procedure, § 1277.5; Health and Safety Code, §§ 103430, 103435 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 Name and Information About the Person Whose Name Is to Be Changed (form NC-110). This form is needed if the petition seeks a decree changing the minor's name.

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.

Section of form titled Information About Petitioner: Item 2 asserts that the petitioning minor is a California resident or is seeking a change to a California birth certificate. the petition is not signed by all living parents of the minor; What Forms Are Required All petitioners need an original and two copies of each of the following forms:        (1) (2) (3) the petition seeks a decree changing the minor's name. 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; or Local courts may require additional local forms. Check with your court to determine if additional forms are required. If the minor is a California resident, in the superior court where the minor presently resides, or If the minor is not a California resident, in the superior court in the county where the minor's birth certificate was issued.   www.courts.ca.gov

5. 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 filed-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 to Waive Court Fees (form FW-001) and Information Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO). 6. NC-500-INFO [Rev.

January 1, 2023] Page 2 of 3 NC-500-INFO Orders to Show Cause and Hearing Date 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 9.) In item 9, write the proposed new name the minor wants the court to order.

In item 9b, check the box showing why the name change petition may be filed in a particular court. (See paragraph 2 above.) In item 10, 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. 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.

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. Item 9a notes that Name and Information About the Person Whose Name Is to Be Changed (form NC-110) must be attached. Attach that form if seeking a name change in this petition.

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 9 on the form. If the minor wants their name changed on their birth certificate, follow the instructions below. When an Order to Show Cause is required Item 9c is required and 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. In item 11, list the number of pages attached to the petition.

Section of form titled Request for Change of Name: Remaining items on form In item 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.

Section of form titled Request for Recognition of Change of Gender and Sex Identifier: the petition includes a request to change a minor's name; An order to show cause may be required with certain petitions if the petition is not signed by all living parents of the minor; or 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. Declaration: The minor may complete (by filling out the minor's name and checking the box identifying the new gender) and sign the Declaration on the second page of the petition. 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.            If requesting a change of name, check the box "and change of name" at the top part of form NC-500.  • • • INSTRUCTIONS FOR FILING PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER In item 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.  Item 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. 

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 judge grants the petition, the judge 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). 7. 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 within 30 days with the Secretary of State and the State Registrar and pay the applicable fees. You may write or contact the State Registrar at: 9. California Department of Public Health Vital Records – MS 5103 P.O. Box 997410 Sacramento, CA 95899-7410 Phone: 916-445-2684 Website: www.cdph.ca.gov 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. NC-500-INFO 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 a petition seeks a change of name, even though an order to show cause must be issued to all interested persons, it needs to be served only if all living parents have not signed the petition. Page 3 of 3   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-121 may be used.) 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.  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: 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. Self-Help Guide For more information, please visit the California Courts Self-Help Guide on gender recognition, available at 10. NC-500-INFO [Rev. January 1, 2023] INSTRUCTIONS FOR FILING PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER .

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. https://selfhelp.courts.ca.gov/gender-recognition-order-index

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 the Instructions for Filing Petition for Recognition of Minor's Change of Gender and Sex Identifier (form NC-500-INFO). • If you are seeking a name change in addition to recognition of gender change, complete items 8 or 9. If you are only seeking recognition of gender change, skip these items. • 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). Petitioners request a decree recognizing that minor's gender and sex identifier is changed to: a. b. Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California NC-500 [Rev.

January 1, 2023] Code of Civil Procedure, § 1277.5; Health and Safety Code, §§ 103430, 103435 PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE AND CHANGE OF NAME 5. nonbinary.male.female.

PETITION OF (name of each petitioner): FOR COURT USE ONLY CASE NUMBER:PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE AND CHANGE OF NAME NC-500 c. and (check one of the following)(minor's present name):This request is being made by a. b. 1. parent or parents guardian (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FAX NO. (Optional): ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): (names): c. attorney for minor under jurisdiction of juvenile court d. near relative or friend (check only if all parents of minor are deceased and no guardian has been appointed) Name and relationship to minor: (name): 4. (Check if petition is filed by a guardian or attorney 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 INFORMATION ABOUT PETITIONER 3. Parents of minor (check one item below) a. b. c. The minor has no living parent. The minor has no living parent other than the parent or parents who have signed this petition. Neither the minor nor the adult petitioner has any information about whether any non-signing 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: Petitioning minor either is a California resident or seeks a change to a California birth certificate.2. Continued (Check this box if you need additional space. Attach a sheet of paper and write "Attachment 3d" for a title.) www.courts.ca.gov TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): CENTRAL DIVISION, HALL OF JUSTICE, 330 W.

BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910

NC-500 PETITION OF (name of each petitioner): CASE NUMBER: declare under penalty of perjury under the laws of the State of California that the request for a change in gender to (check one) is to conform my legal gender to my gender identity and is not for any fraudulent purpose.

Date: (TYPE OR PRINT NAME OF MINOR) (SIGNATURE OF MINOR) I (minor's present name): DECLARATION Date: (TYPE OR PRINT NAME OF PETITIONING ADULT and RELATIONSHIP TO MINOR) (SIGNATURE OF PETITIONING ADULT) Date: (TYPE OR PRINT NAME OF PETITIONING ADULT and RELATIONSHIP TO MINOR) (SIGNATURE OF PETITIONING ADULT) Date: (TYPE OR PRINT NAME OF PETITIONING ADULT and RELATIONSHIP TO MINOR) (SIGNATURE OF PETITIONING ADULT) PETITION FOR RECOGNITION OF MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE AND CHANGE OF NAME NC-500 [Rev.

January 1, 2023] Page 2 of 2 A decree of change of name for the minor has already been obtained, and a certified copy of the decree is attached.8. REQUEST FOR CHANGE OF NAME 9.

Petitioners request that the court decree that, to conform to minor's gender identity, the minor's name is changed to a. (proposed name): b. (1) (2) does not reside in California and wants to change their birth certificate that was issued in this county. is a resident of this county. 10. (Check if petition is filed by a guardian or guardian ad litem for minor, and all parents are deceased or cannot be located.) 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.) 7.

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.) 7KLVLVWKHULJKWFRXUWIRUWKHSHWLWLRQWRFKDQJHQDPHEHFDXVHPLQRU FKHFN RU Petitioners provide the additional required information in support of this request for name change on the attached Name and Information About the Person Whose Name Is to Be Changed (form NC-110). (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.) 6. c. (SIGNATURE OF PETITIONER'S ATTORNEY) Date: (TYPE OR PRINT NAME OF PETITIONER'S ATTORNEY) Number of pages attached (specify number): Petitioners request the court to order that a new birth certificate be issued reflecting the recognition of gender change and any name change sought by this petition. 11. female male nonbinary

Judicial Council of California, courts.ca.gov Rev. July 1, 2026, Mandatory Form Code Civ. Proc., § 1275 et seq.; Health & Saf. Code, § 103430 Declaration of Guardian or Juvenile Attorney (Attachment to Form NC-500) CONFIDENTIAL NC-510G PETITION OF (name of petitioner or petitioners): FOR CHANGE OF GENDER (Minor) CASE NUMBER: 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 attorney 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): b. Address (street, city, county, and zip code): 3. Petitioner was appointed guardian for minor or is attorney for minor who is under the jurisdiction of the juvenile court as f ollows: a. Superior Court of California, County of (name): b. Department (check one): Juvenile Probate c. Case number (specify): d.

Date of appointment (if applicable): 4. If all 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: 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): Continued (For additional space, check the box, and attach a sheet of paper titled "Attachment 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 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): Continued (For additional space, check the box, and attach a sheet of paper titled "Attachment 7" to this declaration.) I 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): NC-510G, Page 1 of 1

of the above-entitled court. The petition was duly considered THE COURT FINDS All notices required by law have been given. This determination was made (check one) clerk of the court by a local law enforcement agency. Form Adopted for Mandatory Use Judicial Council of California NC-530 [New January 1, 2023] Health & Safety Code, §§ 103430, 103435 ORDER RECOGNIZING MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE a. b. (date): in courtroom:DWWKHKHDULQJRQ without a hearing.

The following person seeking recognition of a change of gender and sex identifier is a minor (specify present name): isis not based on information provided to theby using CLETS/CJIS 1. b. a. (5) e.

PETITION OF (name of each petitioner): (FOR CHANGE OF GENDER (Minor)) FOR COURT USE ONLY CASE NUMBER:ORDER RECOGNIZING MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE and DECREE CHANGING NAME NC-530 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FAX NO. (Optional): ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Page 1 of 2 d. required to register as a sex offender under Penal Code

section 290. The petition was signed on behalf of the minor by (1) (2) (3) all of minor's parents fewer than all of minor's parents a guardian (name): (names): (names): (4) an attorney guardian ad litem appointed by the juvenile court (name): (6) a near relative or friend (name and relationship to minor): The minor is likely to remain in the guardian's care until the age of majority. The minor is not likely to be returned to the custody of the parents. (a) (

b) All of minor's parents are deceased. No guardian has been appointed for minor. (a) (

b) c. (For name change) Minor (1) 2. Petitioner is a California resident or seeks a change to a California birth certificate. an attorney representing minor who is asserted to be a person described in Welfare and Institutions Code

section 601 or 602 (name): The petition includes a request regarding a change of name. 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. 3.

(2) A certified copy of a court decree changing minor's name was attached to the petition. www.courts.ca.gov TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910

NC-530 PETITION OF (name of each petitioner): CASE NUMBER: NC-530 [New January 1, 2023] Page 2 of 2ORDER RECOGNIZING MINOR'S CHANGE OF GENDER AND SEX IDENTIFIER AND FOR ISSUANCE OF NEW BIRTH CERTIFICATE Date: JUDGE OF THE SUPERIOR COURT 4. a. female. male. nonbinary. b. If minor was born in California, a certified copy of this order shall be filed by the petitioner within 30 days 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. 5. THE COURT ORDERS c. has been changed to j. Other findings (if any): h. i. 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. 6. The gender and sex identifier of the minor (name): 3.

The name of (present name): orders:2WKHU THE COURT FURTHER ORDERS (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 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.

A new birth certificate must be issued reflecting the change of gender described in item 4 7. a. b. is changed to (new name): was previously changed by court decree to (name): and change of name described in item 5. f. No timely objections to the proposed changes were made. g. 2EMHFWLRQVWRWKHSURSRVHGFKDQJHVZHUHPDGHE\ QDPHDQGUHODWLRQVKLSWRPLQRU

filed a petition on behalf of 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. Date: JUDGE OF THE SUPERIOR COURT Form Adopted for Mandatory Use Judicial Council of California NC-520 [Rev. January 1, 2023] ORDER TO SHOW CAUSE—RECOGNITION OF MINOR'S CHANGE OF GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE Health & Safety Code, § 103430(

e) Petitioner (name of petitioning adult): (name of minor): Page 1 of 1 PETITION OF (name of each petitioner): FOR CHANGE OF GENDER (Minor) CASE NUMBER: NC-520 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FAX NO. (Optional): ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): ORDER TO SHOW CAUSE—RECOGNITION OF MINOR'S CHANGE OF GENDER AND ISSUANCE OF NEW BIRTH CERTIFICATE and CHANGE OF NAME FOR COURT USE ONLY requesting a decree recognizing that minor's gender and sex identifier is changed to female male nonbinary and an order for issuance of a new birth certificate reflecting minor's changed gender and sex identifier. 2.

GENDER AND SEX IDENTIFIER CHANGE from (minor's current name): to (proposed name): . 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. A petition has been filed seeking 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.) 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 Welfare and Institutions Code

section 601 or 602, and all parents are deceased or cannot be located.) a. a. b. b. (1) (2) (3) www.courts.ca.gov CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name):

Judicial Council of California, courts.ca.gov New July 1, 2026, Mandatory Form Code Civ. Proc., § 1277 Proof of Service of Order to Show Cause (Change of Name or Gender to Conform to Gender Identity) CONFIDENTIAL NC-221/NC-321/NC-521 CASE NUMBER: 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 PERSONAL DELIVERY MAILING (OUTSIDE CALIFORNIA ONLY)BY 1. At the time of mailing or personal delivery, I was at least 18 years of age and not a party to this proceeding. 2. My residence or business address is (specify): 3.

I personally delivered or mailed a copy of the (title of document): as follows (complete either a or b): a. Personal delivery. I 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. I am a resident of or employed in the county where the mailing occurred.

(1) I 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): I 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 NC-221/NC-321/NC-521 Page 1 of 1 FAX NO. (Optional): ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): CENTRAL DIVISION, HALL OF JUSTICE, 330 W. BROADWAY, SAN DIEGO, CA 92101 CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E.

MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO

Document details

Collection	California Superior Local Rules
Citation	Cal. Form PKT-048
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	9466ac12bad73d58ac18c95e9a161cec08603545

Source file is stored in the law ingest library (pdf).