# LACIV 226

<div class="callout info">This form is only required in Los Angeles County</div>
&nbsp;

The [LACIV 226](https://lascpubstorage.blob.core.windows.net/forms/Forms%20Comprehensive%20List/LASC%20CIV%20226.pdf) form is required for all name changes in L.A. county. It's used to perform a background check. This form is confidential, so it will not be part of the public record.

- Under **Sex**, put your AGAB.
- Under **Race/Ethnicity**, put your race (e.g. White, Black, Native American, etc.).
- Under **Social Security**, put your social security number.
- Under **Driver's License or ID**, put your Driver's License number or another form of government ID.
- Under **Place of Birth**, put the name and address of the hospital where you were born. This can be found on your birth certificate if you don't know it.
- If you've had your name legally changed before, put all of your previous names under **Other name(s) used**.
- On the line labeled **Date**, write the current date, and then sign on the **Signature** line.
- Leave everything else blank.

### Example

Here's what your form should look like once it's finished (Everything I added is in red for emphasis. Use black when you're filling your form out):

[![laciv226-revised.webp](https://thecodex.gay/uploads/images/gallery/2025-07/scaled-1680-/laciv226-revised.webp)](https://thecodex.gay/uploads/images/gallery/2025-07/laciv226-revised.webp)