11155E (2018/04) Queen's Printer for Ontario, 2018
Disponible en franais
Ministry of Government
and Consumer Services
Office of the Registrar General
Application to change
an adult's name
To use this application:
you must be 16 years of age or older, and
you must have lived in Ontario for at least the past 12 months
Personal information on this form is collected under the authority of the Change of Name
Act, R.S.O. 1990,c.C.7. It will be used to determine whether a change of name can be
granted, to register and record the change of name, to publish the change of name in The
Ontario Gazette, to provide certified copies of the registration, certificates and search
notices and for statistical, research, medical, security and law enforcement, corrections,
adoption and adoption disclosure purposes. It is an offence to willfully make a false
statement on this form.
For any questions about this collection statement or any questions about this
application, please contact:
The Deputy Registrar General
Office of the Registrar General
PO Box 3000, 189 Red River Road
Thunder Bay ON P7B 5W0
Telephone: Outside Toronto but within North America 1-800-461-2156
or in Toronto or outside North America 416-325-8305,
TTY/Teletypewriter (for the hearing impaired) 416-325-3408
Fax: 807-343-7459.
11155E (2018/04) - Application to Change an Adult's Name - Introduction
Important Information about this Application
1. This application is a permanent legal record.
Notice of a name change is published in The Ontario Gazette. The Ontario Gazette is the Government of
Ontario's official publication which can be searched online. Generally, notice of a name change is
published in The Ontario Gazette, however, there are exceptions specified in the Change of Name Act. See
Part 5 of the application for more information about the form, what documents to send, police records
checks, and publishing of the name change in The Ontario Gazette.
2. Make sure you have the right application form. There are three dif