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Florida Report of Legal Change of Name (DH 427)

Official state formLegal name changeForm DH 427Free downloadLast verified November 10, 2026

Report of a Florida court judgment that changes a name. As the form states, the clerk of the court signs and seals it and sends it to the Department of Health, Office of Vital Statistics, when the final judgment is filed, so it can be attached to the Florida birth record.

Who can use this form

  • The clerk of the court signs and seals the form and sends it. The person does not file it directly.
  • The petitioner's name and address, and the attorney's if there is one, are entered on the form.
  • It applies when the person whose name was changed was born in Florida.

What to send with it

  • The completed form, certified by the clerk of the court
  • To get a certificate of the amended record, the person separately sends application DH 429 with ID and the $20 fee, according to the office's web page.
  • For a name change ordered by a court outside Florida, the person sends a certified copy of the court order with application DH 429, ID and the fee.

Where to send it

Mail to
DEPARTMENT OF HEALTH OFFICE OF VITAL STATISTICS ATTN: CORRECTION UNIT P.O. BOX 210 Jacksonville, FL 32231-0042
State fee
$20, non-refundable, includes one certification of the amended record. The fee is stated on the office's amendments page and is paid with application DH 429, not with this form.
Typical processing
The clerk usually forwards the report within 30 days, according to the office's web page.
Form revision
04/2016
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Florida Report of Legal Change of Name (DH 427) | Florida Form