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Family Deed Poll Application Form

To change your family’s surname (family means at least one parent and one child under the age of 16) please complete and submit the secure application form below, which has provision for 6 children. Please note, the parent and their spouse/partner can also change their title, first and middle names if required but children can only change their surname to the new family surname.

You do not need to provide debit or credit card details to apply online – you can ask us to call you for your card details or you can pay by cheque or postal order. Before you complete this form, you may wish to read about our terms and conditions, fees and your statutory rights including your right to cancel by click on this link (opens new window).

After you have submitted your application, you need to send us a letter of consent (by email, fax or post). A link to a page containing example letters of consent will be provided after you have submitted your application.

You must be the mother or father (with parental responsibility) for the child(ren) whose name(s) are being changed to complete this application form. An explanation of parental responsibility is given on our page Can I change my child’s name (opens new window). This article will also allow you to determine whether you have sole or joint parental responsibility for the child(ren). If you do not have parental responsibility, please call our Helpline for advice about how to proceed.

If you need assistance and wish to speak to a Deed Poll Officer, please call our Helpline (see top right of this page for the number and our opening hours).

Please note: All questions marked with an asterisk (*) are required

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

*Current title
If you select Other please enter your current title in the comments box at the end of this section.

*Current forenames
Enter 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

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 forenames
Enter all the forenames you wish to have - not just any new ones.
If there is no change, please enter all your current forenames.

*The new surname for all family members
This will be the new surname for all family members you are
including on this application form.

*Address
This should be your permanent residential address, which should be a physical address and not a PO Box address.
You can provide a different address for delivery in section 4 below

*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 number
Should we have a query and need to speak to you, please provide
a number we can call between 9am and 7pm Monday to Friday.

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 2
Details of your spouse/partner (if also changing their name)
A separate Adult deed poll will be issued to your spouse/partner.

*Is your spouse/partner also changing their name?

Current title
If you select Other please enter your current title in the comments box at the end of this section.

Current forenames
Enter your first name and all your middle names (all your given names).

Current surname

New title

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.

New forenames
Enter all the forenames you wish to have - not just any new ones.
If there is no change, please enter all your current forenames.

Date of birth

Nationality

Enter your spouse/partner's nationality. If your spouse/partner is not British or is 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.
Any comments or additional information about your spouse/partner

Section 3
Children to be included on your Deed Poll
Your application MUST include at least one child under the age of 16 for which you have parental responsibility. Your children can only change their surname to the new family surname. If you wish to change a son/daughter's first or middle names, you must also apply for a separate Child Deed Poll (if under 16 years of age). If 16 or over, you must apply for a separate Adult Deed Poll after you have submitted this application.
*How many children's names are you changing

*Child(en)'s nationality
If your child(ren) are not British or they are British nationals living outside the United Kingdom click on this link (opens new window) to read our page about who can apply for a Deed Poll.

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)

*Date of birth

*Age

*Where was the birth (or adoption) registered

*Is someone recorded on the birth certificate as the father

*Were the parents married when this child was born (or were married at any time after this child was born)

*Is either parent 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

If you select Yes, enter the details in this text box:

*Do you have sole or joint parental responsibility for your 1st child

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)

Date of birth

Age

Where was the birth (or adoption) registered

Is someone recorded on the birth certificate as the father

Were the parents married when this child was born (or were married at any time after this child was born)

Is either parent 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

If you select Yes, enter the details in this text box:

Do you have sole or joint parental responsibility for your 2nd child

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)

Date of birth

Age

Where was the birth (or adoption) registered

Is someone recorded on the birth certificate as the father

Were the parents married when this child was born (or were married at any time after this child was born)

Is either parent 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

If you select Yes, enter the details in this text box:

Do you have sole or joint parental responsibility for your 3rd child

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)

Date of birth

Age

Where was the birth (or adoption) registered

Is someone recorded on the birth certificate as the father

Were the parents married when this child was born (or were married at any time after this child was born)

Is either parent 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

If you select Yes, enter the details in this text box:

Do you have sole or joint parental responsibility for your 4th child

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)

Date of birth

Age

Where was the birth (or adoption) registered

Is someone recorded on the birth certificate as the father

Were the parents married when this child was born (or were married at any time after this child was born)

Is either parent 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

If you select Yes, enter the details in this text box:

Do you have sole or joint parental responsibility for your 5th child

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)

Date of birth

Age

Where was the birth (or adoption) registered

Is someone recorded on the birth certificate as the father

Were the parents married when this child was born (or were married at any time after this child was born)

Is either parent 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

If you select Yes, enter the details in this text box:

Do you have sole or joint parental responsibility for your 6th child

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
We aim to post within four working days by Royal Mail's
1st class mail service.
UK Priority: +£4
Posted same day by Royal Mail's 1st class mail service
(if application received by 3.30pm Monday to Friday).
UK Express: +£10
Posted same day for guaranteed delivery by 1pm next working
day (if application received by 3.30pm Monday to Friday).
UK Express: (Saturday delivery): +£14
Guaranteed delivery by 1pm Saturday (if application received
between 3.30pm Thursday and 3.30pm Friday).
UK Express Plus: +£20
Posted same day for guaranteed delivery by 9am next working
day (if application received by 3.30pm Monday to Friday).
UK Express Plus (Saturday delivery): +£24
Guaranteed delivery by 9am Saturday (if application received
between 3.30pm Thursday and 3.30pm Friday).
Overseas Standard: +£5
We aim to post within four working days by Royal Mail's Tracked
or Signed accelerated air mail service.
Overseas Express: +£10
Posted same day by Royal Mail's Tracked or Signed accelerated
airmail service (if application received by 3.30pm Monday to
Friday).
Overseas Express Courier: +£10 +FedEx fees
Posted same day using FedEx's International Priority service
(if application received by 1pm Monday to Friday). Delivery will
be between 1 and 3 working days depending country (next working.
day to USA and Canada). Use the link below to see FedEx's fees.
*Please select which delivery option you would like:

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)
Deliver to my main address given above.
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 Service
Click in this drop-down box to select a different response.

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 7
Do you wish to claim a fee reduction because you have changed your name with us before?
You can claim a £10 fee reduction on the total value of your order if you have changed your name with us before i.e. if you have previously purchased a Deed Poll direct from us.
Please note, this reduction cannot be claimed in addition to the fee reduction for receiving a qualifying benefit.
*Are you claiming a fee reduction as a previous client

If NO then proceed to section 8

The former name (in full) on your previous Deed Poll

The new name (in full) on your previous Deed Poll

The postcode on your previous Deed Poll

The year you ordered your previous Deed Poll from us

Any comments or further information

If claiming this reduction, go to section 8 after completing this section.

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 benefit

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.

Section 9
How will you be paying?
*Payment method

We will send you an email confirming payment details.

Please see top of the page for our contact details.

We will call you within the time you gave us in section two.

Complete this section if you are paying by debit or credit card
If paying by card, we accept Mastercard, Visa, Visa Debit, Maestro and American Express.
You can use someone else's card if you have their permission but we may call the cardholder to confirm their consent. If you have just provided card details on a previous application form, you do not need to provide the card's details again.
Your card will not be charged until we prepare your deed poll documentation.
*Card type

*Card number

*Expiry date

*Security number
The last 3 digits printed on the card's signature strip (4 digits on the front of AmEx cards)

*Cardholder's name

Cardholder's telephone number (Optional)

Statement address
(If different from your delivery address given in section 1)

If paying by cheque or postal order
We will email confirmation of the fee payable. Please make your cheque or postal order payable to UK Deed Poll Service and write your new name and address on the back. If paying by cheque, we cannot post your Deed Poll documentation until your cheque has cleared, which takes five working days. Post your payment to either address below:
Our Freepost address
(if posting from a UK address)
Using our Freepost address costs you nothing but it takes two to four working days to reach us. If you want your payment to arrive sooner, use the address below and affix a 1st class stamp
change my name
Full postal address
Use this address if you want your payment to arrive sooner. Don't forget to add United Kingdom if posting from outside the UK
You only need to write FREEPOST DEED POLLS on the envelope:

Does this application need to be linked to any other application you will be submitting today (or have already submitted today)?
This will enable us to ensure you receive the fee reduction for additional Deed Polls ordered at the same time (where the Deed Poll address and delivery address are the same).

*Application forms for other adults or children

Please check over your details carefully before clicking the submit button

If you realise you have made a mistake after submitting your application, please email us with the correction. There's no need to submit your application again.