Section 1 Applicant's details (can be the mother or father) Preferably, you should be the mother but you can be the father if you have parental responsibility for your child(ren). Your current name, new name and address will appear on your Deed Poll document. Your title will only appear if you are changing it.
*Status in family--- Mother Father (with parental responsibility)
*Current titleIf you select Other please enter your current title in the comments box at the end of this section. --- Mr Mrs Miss Ms Mx Dr Other
*Current forenamesEnter your first name and all your middle names (all your given names).
*Current surname To find out how your names will appear on your Deed Poll documentation, please click on this link (opens pop-up window).
*New title--- Mr Mrs Miss Ms Mx Dr Other
If you are changing your title, we can incorporate a change of title declaration on your Deed Poll document for which a £4 fee is payable. If you wish to change your title to a title other than Mr, Mrs, Miss, Ms or Mx, please click on this link (opens pop-up window) for further information. For information about the title Mx, please click on this link (opens pop-up window). *New forenamesEnter all the forenames you wish to have - not just any new ones.
*The new surname for all family membersThis will be the new surname for all family members you are
*AddressThis should be your permanent residential address, which should be a physical address and not a PO Box address.
*Date of birth
*Nationality Enter your nationality. If you are not British or you are a British national living outside the United Kingdom click on this link (opens new window) to read our page about who can apply for a Deed Poll.
*Your Email
*Daytime telephone numberShould we have a query and need to speak to you, please provide
Best time to call you (Optional)For example, 9 to 5, after 10 am, afternoon etc.
Do you want us to date your Deed Poll with a future date (optional) If you select no we will issue your Deed Poll un-dated for you to date when you sign it. If you enter Yes, we will date your Deed Poll for 2 working days after we post it (when you should receive it by) or you can enter s specific future date. A date printed by us looks much better than a hand written date. Please click on this link (opens pop-up window) for further information.
Any comments or additional information (optional)
Section 4 Details of the 1st child
*Current forenames Enter the child's current first and all middle names (all given names)
*Current surname
*Sex (at birth)--- Male Female
*Date of birth
*Age--- Under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
*Where was the birth (or adoption) registered--- England Scotland Wales Northern Ireland Isle of Man Bailiwick of Jersey Bailiwick of Guernsey Outside the United Kingdom
*Is someone recorded on the birth certificate as the father--- No Yes, the biological father Yes, but NOT the biological father Not applicable, the child is adopted
*Were the parents married when this child was born (or were married at any time after this child was born)--- No Yes, married when child was born Yes, married AFTER child was born Not applicable, child is adopted
*Is either parent deceased--- No Yes, the father is deceased Yes, the mother is deceased Yes, both parents are deceased
*Is this child the subject of any court order or court registered agreement that affects your right to change this child's name or affects who has parental responsibility for this child--- Yes No
If you select Yes, enter the details in this text box:
*Do you have sole or joint parental responsibility for your 1st child--- Sole PR (father has never had PR) Sole PR (Other parent had PR but is now deceased) Joint PR (everyone with PR consents to name change) Joint PR (father is absent) Joint PR (mother is absent) PR = Parental Responsibility
Any comments or further information about this child (optional)
Details of the 2nd child
Current forenames Enter the child's current first and all middle names (all given names)
Current surname
Sex (at birth)--- Male Female
Date of birth
Age--- Under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Where was the birth (or adoption) registered--- England Scotland Wales Northern Ireland Isle of Man Bailiwick of Jersey Bailiwick of Guernsey Outside the United Kingdom
Is someone recorded on the birth certificate as the father--- No Yes, the biological father Yes, but NOT the biological father Not applicable, the child is adopted
Were the parents married when this child was born (or were married at any time after this child was born)--- No Yes, married when child was born Yes, married AFTER child was born Not applicable, child is adopted
Is either parent deceased--- No Yes, the father is deceased Yes, the mother is deceased Yes, both parents are deceased
Is this child the subject of any court order or court registered agreement that affects your right to change this child's name or affects who has parental responsibility for this child--- Yes No
If you select Yes, enter the details in this text box:
Do you have sole or joint parental responsibility for your 2nd child--- Sole PR (father has never had PR) Sole PR (Other parent had PR but is now deceased) Joint PR (everyone with PR consents to name change) Joint PR (father is absent) Joint PR (mother is absent) PR = Parental Responsibility
Any comments or further information about this child (optional)
Details of the 3rd child
Current forenames Enter the child's current first and all middle names (all given names)
Current surname
Sex (at birth)--- Male Female
Date of birth
Age--- Under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Where was the birth (or adoption) registered--- England Scotland Wales Northern Ireland Isle of Man Bailiwick of Jersey Bailiwick of Guernsey Outside the United Kingdom
Is someone recorded on the birth certificate as the father--- No Yes, the biological father Yes, but NOT the biological father Not applicable, the child is adopted
Were the parents married when this child was born (or were married at any time after this child was born)--- No Yes, married when child was born Yes, married AFTER child was born Not applicable, child is adopted
Is either parent deceased--- No Yes, the father is deceased Yes, the mother is deceased Yes, both parents are deceased
Is this child the subject of any court order or court registered agreement that affects your right to change this child's name or affects who has parental responsibility for this child--- Yes No
If you select Yes, enter the details in this text box:
Do you have sole or joint parental responsibility for your 3rd child--- Sole PR (father has never had PR) Sole PR (Other parent had PR but is now deceased) Joint PR (everyone with PR consents to name change) Joint PR (father is absent) Joint PR (mother is absent) PR = Parental Responsibility
Any comments or further information about this child (optional)
Details of the 4th child
Current forenames Enter the child's current first and all middle names (all given names)
Current surname
Sex (at birth)--- Male Female
Date of birth
Age--- Under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Where was the birth (or adoption) registered--- England Scotland Wales Northern Ireland Isle of Man Bailiwick of Jersey Bailiwick of Guernsey Outside the United Kingdom
Is someone recorded on the birth certificate as the father--- No Yes, the biological father Yes, but NOT the biological father Not applicable, the child is adopted
Were the parents married when this child was born (or were married at any time after this child was born)--- No Yes, married when child was born Yes, married AFTER child was born Not applicable, child is adopted
Is either parent deceased--- No Yes, the father is deceased Yes, the mother is deceased Yes, both parents are deceased
Is this child the subject of any court order or court registered agreement that affects your right to change this child's name or affects who has parental responsibility for this child--- Yes No
If you select Yes, enter the details in this text box:
Do you have sole or joint parental responsibility for your 4th child--- Sole PR (father has never had PR) Sole PR (Other parent had PR but is now deceased) Joint PR (everyone with PR consents to name change) Joint PR (father is absent) Joint PR (mother is absent) PR = Parental Responsibility
Any comments or further information about this child (optional)
Details of the 5th child
Current forenames Enter the child's current first and all middle names (all given names)
Current surname
Sex (at birth)--- Male Female
Date of birth
Age--- Under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Where was the birth (or adoption) registered--- England Scotland Wales Northern Ireland Isle of Man Bailiwick of Jersey Bailiwick of Guernsey Outside the United Kingdom
Is someone recorded on the birth certificate as the father--- No Yes, the biological father Yes, but NOT the biological father Not applicable, the child is adopted
Were the parents married when this child was born (or were married at any time after this child was born)--- No Yes, married when child was born Yes, married AFTER child was born Not applicable, child is adopted
Is either parent deceased--- No Yes, the father is deceased Yes, the mother is deceased Yes, both parents are deceased
Is this child the subject of any court order or court registered agreement that affects your right to change this child's name or affects who has parental responsibility for this child--- Yes No
If you select Yes, enter the details in this text box:
Do you have sole or joint parental responsibility for your 5th child--- Sole PR (father has never had PR) Sole PR (Other parent had PR but is now deceased) Joint PR (everyone with PR consents to name change) Joint PR (father is absent) Joint PR (mother is absent) PR = Parental Responsibility
Any comments or further information about this child (optional)
Details of the 6th child
Current forenames Enter the child's current first and all middle names (all given names)
Current surname
Sex (at birth)--- Male Female
Date of birth
Age--- Under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Where was the birth (or adoption) registered--- England Scotland Wales Northern Ireland Isle of Man Bailiwick of Jersey Bailiwick of Guernsey Outside the United Kingdom
Is someone recorded on the birth certificate as the father--- No Yes, the biological father Yes, but NOT the biological father Not applicable, the child is adopted
Were the parents married when this child was born (or were married at any time after this child was born)--- No Yes, married when child was born Yes, married AFTER child was born Not applicable, child is adopted
Is either parent deceased--- No Yes, the father is deceased Yes, the mother is deceased Yes, both parents are deceased
Is this child the subject of any court order or court registered agreement that affects your right to change this child's name or affects who has parental responsibility for this child--- Yes No
If you select Yes, enter the details in this text box:
Do you have sole or joint parental responsibility for your 6th child--- Sole PR (father has never had PR) Sole PR (Other parent had PR but is now deceased) Joint PR (everyone with PR consents to name change) Joint PR (father is absent) Joint PR (mother is absent) PR = Parental Responsibility
Any comments or further information about this child (optional)
Section 5 Which service do you require and where do you want your Deed Poll documentation posted to? The fees shown are per order. For example, if you order two Deed Polls using our UK Priority service, the total service fee will be £4 and not £4 for each Deed Poll. Working days are Monday to Friday excluding bank holidays.
UK Standard: Free
UK Priority: +£4
UK Express: +£10
UK Express: (Saturday delivery): +£14
UK Express Plus: +£20
UK Express Plus (Saturday delivery): +£24
Overseas Standard: +£5
Overseas Express: +£10
Overseas Express Courier: +£10 +FedEx fees
*Please select which delivery option you would like:--- Standard Priority Express Express (Saturday delivery) Express plus Express Plus (Saturday delivery) Overseas Standard Overseas Express Overseas Express Courier
Click on this link (opens pop-up window) for further information about our UK Standard, UK Priority, UK Express services, Overseas Standard and Overseas Express services.
Click on this link (opens pop-up window) for further information and the fees for our Overseas Express Courier service (using FedEx).
Delivery name (optional)This is the name you would like us to write on your envelope.
Delivery address (optional)If you would like your Deed Poll documentation posted to a different address, please enter it here (replace the text in the box with the delivery address)
The envelopes we use do not have any markings on them to indicate the contents
Section 6 Do you require our Legal Copy and Archive Service? Organisations such as the Passport Office, DVLA, the financial institutions etc will not accept a photocopy of your Deed Poll document. Our legal copies (also known as certified copies) will be accepted by these organisations in lieu of your original Deed Poll document thus avoiding your original Deed Poll being lost or damaged in the post. Also, we archive an image of your signed Deed Poll so you can order further legal copies in the future should you ever lose or mislay your Deed Poll.
*Do you require our Legal Copy and Archive ServiceClick in this drop-down box to select a different response.Yes, with 2 legal copies No Yes, with 3 legal copies Yes, with 4 legal copies Yes, with 5 legal copies Yes, with 6 legal copies Yes, with 7 legal copies Yes, with 8 legal copies Yes, with 9 legal copies Yes, with 10 legal copies Yes, with 11 legal copies Yes, with 12 legal copies Yes, with 13 legal copies Yes, with 14 legal copies Yes, with 15 legal copies Yes, with 16 legal copies Yes, with 17 legal copies Yes, with 18 legal copies Yes, with 19 legal copies Yes, with 20 legal copies Yes, with 21 legal copies Yes, with 22 legal copies Yes, with 23 legal copies Yes, with 24 legal copies Yes, with 25 legal copies
The fee for our Legal Copy and Archive Service is £13 plus £1 for each legal copy ordered (two copies minimum). For further information about our Legal Copy and Archive Service and how the service works click on this link (opens pop-up window).
Section 8 Do you wish to claim a fee reduction because you receive a qualifying benefit? You can claim a £10 fee reduction on the total value of your order if you receive either:
Income Support Income related Employment & Support Allowance Pension Credit Income-based Jobseeker's Allowance Housing Benefit Working Tax Credit Child Tax Credit (if your household income is less than £20,000 per annum) Universal Credit (if your household income is less than £20,000 per annum) If someone receives Child Benefit for you The fee reduction is only available if you send us written evidence of your benefit entitlement (an original award notice, not fax or photocopy, dated within the past 3 months). If you need to obtain a new award notice click on this link (opens pop-up window) for contact details. Please post your award notice to our address shown in section 10 below.
Please note, this reduction cannot be claimed if you are claiming the fee reduction as a previous client.
*Are you claiming a fee reduction because you receive a qualifying benefitNo Yes
If you are paying by debit or credit card and your written evidence does not arrive by the time your application is due to be processed, we will charge the standard fee and enclose a claim form with your Deed Poll documentation, which you can return to us with your written evidence for a £10 refund. If you a paying by PayPal, you will need to pay the full fee but we will enclose a claim form with your Deed Poll documentation, which you can return to us with your written evidence for a £10 refund.
