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Fill in a change of name over 18 years application form

Use this application form to change your name if you were born or adopted in Queensland, or if you were born or adopted overseas but have been living in Queensland for over a year.

It will take you about 15 minutes to complete this application form.

Step 1—Complete online

1. Answer the questions below.
2. Download and print the completed application form.

Step 2—Complete on paper and submit

3. Have another adult (18 or older) witness your signature in the declaration section.
4. Get your proof of ID and supporting documents.
Proof of ID documents must be submitted by post. Get your documents certified by a Justice of the Peace or another authorised person, if submitting by post.
5. Post your application form to Registry of Births, Deaths and Marriages, PO Box 15188, CITY EAST QLD 4002.

Step 3—What next?

6. If your application is approved, you will need to change your name everywhere you do business in the community.

1. Can I change my name?

   1. Was your birth or adoption registered in Queensland or, if you were born or adopted overseas, have you lived in Queensland for at least 12 months? *

      • Yes
      • No
   2. Have you changed your name in Queensland within the last 12 months? * (If you chose 'Yes' above)

      • Yes
      • No
   3. Do you need permission from the Chief Executive of Corrective Services or the Police Commissioner to apply for a change for name? * For example, if you are in the custody of corrective services. (If you chose 'No' above)

      • Yes
      • No
   4. Do you have written approval from the Chief Executive or the Police Commissioner? * (If you chose 'Yes' above)

      • Yes
      • No
   5. Do you have all the proof you need for identification? * View the proof of ID and evidence of residency you will need to provide.

      • Yes
      • No
   6. By using this online service and providing an email address and mobile number, I consent to the use of that email address and mobile number for the Registry of Births, Deaths and Marriages (RBDM) to provide information and for contact by SMS and email that relates to this application. I understand that it is my responsibility to ensure that I have nominated a secure email address for RBDM to send correspondence to, and I acknowledge that it is my responsibility to ensure the security of that information upon receipt of it.
2. Fill in your application form Fill in the application form before downloading and printing it.

   1. 1. *
         New name conditions

         I understand that I have the right to choose my first names and family name. However, the Registrar-General may refuse to register a name that is a prohibited name.
      2. Your new name

         If your application is approved, these are the first names and surname you will use and you will need to change your name with every organisation you have a personal account with.

         1. First name *
         2. Middle name(s)
         3. Family name *
      3. Why do you want to change your name? * I want to register a change to my name for the following reasons ('personal' or 'for passport' are not enough information).
      4. Previous change(s) to your name

         1. Has your name been changed since your birth or adoption? * The name on your current proof of ID is different to your name as it appears on your birth certificate.

            • Yes
            • No
         2. Other names you have used (If you chose 'Yes' above)

            1. You will need to provide supporting documents for any other change of name.

            Change of name 1 This is your most recent change of name.
            2. When did you last change your name?*dd/mm/yyyy
            3. How did you change your name? * Deed poll, marriage, civil partnership
            4. Previous name

               1. First name *
               2. Middle name(s)
               3. Family name *
            Change of name 2
            5. When did you change your name?dd/mm/yyyy
            6. How did you change your name? Deed poll, marriage, civil partnership
            7. Previous name

               1. First name
               2. Middle name(s)
               3. Family name
            Change of name 3
            8. When did you change your name?dd/mm/yyyy
            9. How did you change your name? Deed poll, marriage, civil partnership
            10. Previous name

                1. First name
                2. Middle name(s)
                3. Family name
            11. I agree that if I have changed my name more than 3 times, I will provide the additional details on a statutory declaration.
            12. Has the change been entered in the Queensland Change of Name Register? *

                • Choose 'Yes' only if you have submitted a change of name application with us before.
                • Yes
                • No
      5. Your birth details

         1. Was your birth or adoption registered in Queensland? *

            • Yes
            • No
         2. Queensland birth or adoption (If you chose 'Yes' above)

            1. Place of birth

               1. Town or city *
               2. State *
            2. Date of birth
            3. Do you want your birth certificate to show your new name? *

               • If you choose 'Yes' the birth certificate will show the new name on the front of the certificate and previous names on the back.
               • Yes
               • No. However, I do understand that the certificate will say a change of name has occurred.
         3. Is your birth or adoption registered overseas? * (If you chose 'No' above)

            • Yes
            • No
         4. Overseas birth or adoption(If you chose 'Yes' above)

            1. You will need to provide your birth certificate. If the original birth certificate is not in English, please have it translated into English by an accredited translator.
            2. Place of birth

               1. Town or city *
               2. Country *
            3. Date of birth dd/mm/yyyy*
            4. Have you lived in Queensland for the last 12 months? *

               • You will need to provide evidence that you currently live here and have lived in Queensland for the last 12 months.
               • Yes
               • No (you will need to lodge an application in the state you normally live in or wait until you have lived in Queensland for at least 12 months)
            5. Are you an Australian citizen? *

               • Yes
               • No
         5. Details as shown on citizenship certificate (If you chose 'Yes' above)

            You will need to provide your citizenship certificate.

            1. Name

               1. First name *
               2. Middle name(s)
               3. Family name *
            2. Date of birth (if shown on citizenship certificate) dd/mm/yyyy
            3. Place of birth (if shown on citizenship certificate)

               1. Town or city
               2. State or province
               3. Country
         6. Your name (as shown on your birth certificate)

            1. First name *
            2. Middle name(s)
            3. Family name *
         7. Mother's name (as shown on your birth certificate)

            1. First name *
            2. Middle name(s)
            3. Maiden surname must be completed. The mother's maiden surname is the same as her surname or family name at the time of her birth.
            4. Maiden surname *
         8. Father's/parent's name (as shown on your birth certificate) If no father/parent is on your birth certificate enter n/a.

            1. First name *
            2. Middle name(s)
            3. Family name *
      6. Certificate details

         1. Change of name certificates only provide some birth information, the new name and any previous change of name registered in Queensland by us—not including a change of name through marriage. They are not proof of birth details.
         2. What type of certificate would you like to order? * The application fee includes 1 free certificate. Select the change of name certificate if you were born or adopted:
            

            • - outside Australia
              - in Queensland and choose not to have your birth certificate show your new name.

            • Birth certificate (Queensland registered births only)
            • Change of name certificate
         3. Additional certificates There is a cost for each additional certificate to be paid when the application is made.

            • No additional certificate
            • 1 standard birth certificate ($50.40)
            • 1 standard change of name certificate ($50.40)
         4. Priority * Tick one option

            These timeframes start when we receive your required documents.

            • Urgent ($100.30)—processed in 3 business days (includes standard post).
            • Non-urgent (no additional fee)—average processing time is 7 business days.
         5. Type of post * Australia Post delivery timeframes

            • Registered post—within Australia ($5.40)
            • Express post—within Australia ($7.15)
            • Standard post (no charge)
            • International registered post ($17.70)

            
            

            1. The total cost is:
            
            

      Ensure the safe delivery of your certificate

      You have changed the type of post. We value identity protection, therefore we recommend that you choose registered post so that the delivery of your certificate can be tracked and delivered to you securely.

      7. Who is applying

         1. Your current name (as shown on your proof of ID)

            1. First name *
            3. Middle name(s)
            4. Family name *
         2. Home address

            1. Address line 1 *
            2. Address line 2
            3. Address line 3
            4. 1. Town, city or suburb *
               2. State *
               3. Postcode *
            5. Country
         3. Is your postal address the same as your home address? *

            • Yes
            • No
         4. Postal details (If you chose 'No' above)

            1. Postal address

               1. Address line 1 *
               2. Address line 2
               3. Address line 3
               4. 1. Town, city or suburb *
                  2. State *
                  3. Postcode *
               5. Country
         5. Contact number (mobile preferred) *
         6. Email *
      8. Before I return the application form *

         I agree that I will have another adult (18 or older) witness my signature and return my completed and printed application form with certified proof of ID and supporting documents to Registry of Births, Deaths and Marriages.

         Your application form is almost ready to be downloaded and printed

         
         
         

         Please take the time to look over the details you have provided.

         
         

Don't use this form

We can only change your name if you were born or adopted in Queensland or born or adopted overseas and have been living in Queensland for at least 12 months.

See a list of interstate registry offices.

You are not eligible

We can't change your name more than once in 12 months.

You are not eligible

We can't change your name until you have written approval from the Chief Executive or the Police Commissioner. Changing your name without this is a criminal offence.

Learn more about this in our change of name policy.

You are not eligible

We can't change your name until you can prove your identity.

Local call* 13 QGOV (13 74 68)
International +61 7 3328 4811 (+10 hours UTC)

(Phone lines open Monday–Friday, 8.30am–4.30pm)

*Costs may be higher from mobile phones and interstate.

Privacy notice
The Department of Justice and Attorney-General is collecting your personal information for the purpose of processing your application for change of name under the Births, Deaths and Marriages Registration Act 2003. The information on this form may be provided to law enforcement agencies and to government and non-government agencies for verification of the data. Access to this information or a certificate may be granted to any person who has adequate reason to obtain it, or who meets the requirements of the access policy.