Language / English
Statutory declaration for changing your name by deed poll: Form LOC021
What is this form for?
This form must be completed by someone that knows you. Send it with your application to enrol your change of name, if you're 18 or over, to the Royal Courts of Justice.
You can preview the official document here. We have not yet added simple text entry, browser saving or account saving for this form.
Official form and guidance ↗
Official documents
First page of the official PDF (2 pages in total). Use the official document links to view every page.
Request conversion of LOC021
Tell us you need this form in an easy digital format. We will receive your request and can contact you about it.
Requesting a form does not mean conversion has started or that it will be ready by a particular date.
Official publication updated 2026-01-09. Catalogue checked 9 November 2026. Follow the official guidance for the form's scope, required documents and filing route. Source: HMCTS. Crown copyright, Open Government Licence v3.0.