Authorization to Release Confidential Information for Name Change - Ohio 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your present name in the designated field. This is crucial as it identifies you in the application process.
3. Next, input the name you are requesting to change to. Ensure that this matches your desired legal name.
4. If applicable, repeat steps 2 and 3 for any minors included in the application, providing their current and requested names.
5. Fill in your date of birth and social security number accurately. This information is essential for verifying your identity.
6. Review the authorization statement carefully. By signing, you permit the release of confidential records related to your name change application.
7. Finally, sign and date the document where indicated. Ensure a witness also signs and dates the form to validate it.

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