LSC-CIV-050LocalFillable

Name Change - Criminal History Assessment

Lassen Superior Court · Local Forms

Verified current as of September 19, 2026

Confidential form completed by a person petitioning for a legal name change and the Lassen County Sheriff's Department, used to document identifying information and report any criminal history or sex offender registration findings to the court.

This form has fillable fields — you can complete it directly in the viewer on the right.
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