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Name change · Ontario form

11155E Fillable Form: Application to Change an Adult's Name (Ontario)

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Your current legal name, exactly as on your birth certificate or the name change certificate you have now.

You need at least 12 months in a row.

Exactly as you want it on your new birth certificate and ID.

Your certificate is sent to the mailing address.

Is this also the address where you live?

Are you married now?

Separated but not divorced counts as Yes.

Have you ever signed a Joint Declaration of Conjugal Relationship (Form 3) and sent it to the Registrar General?

Most people answer No.

Everyone listed as a parent on your birth registration.

Parent 1

Parent 2

Have you changed your name before?

For more than one earlier change, photocopy the blank page 4 of Part 1 for each extra change.

Have you applied for a name change before and been refused?

Answer every question. A Yes means you also send a police record check with the application.

1. Any pending court proceedings against you, other than criminal charges?

Civil, family, traffic and other provincial offences.

2. Any outstanding law enforcement orders against you?

A warrant, prohibition or restraining order, licence suspension, probation or parole order.

3. Have you ever been convicted of a criminal offence?

Answer No if it was pardoned or suspended, or if a Yes would reveal a youth matter, unless the form's exceptions apply.

4. Have you been found guilty of a criminal offence and not discharged?

Read the note on the form: answer No if you were never found guilty or the time limits have passed.

5. Any pending criminal charges against you?

Charges that have not yet gone to court or have not been decided.

1. Has a court or tribunal ordered you to pay money you have not paid yet?

Judgments and fines, for example rent arrears or a small claims award.

2. Has a sheriff been directed to take your property to enforce a judgment?
3. Any liens or security interests against your personal property?
4. Any financing statements under the Personal Property Security Act that name you as a debtor?

For example, a car loan that is not paid off.

5. Are you an undischarged bankrupt?

Your initials in the box on page 20 and your signature are added at your video signing. Nothing to fill in for them here.

Signatures and the notary's part are completed during your video call. They are not on this form, and you don't need to fill them in.

Next: choose a time, add your photo ID and pay. The document is attached for you.

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Also known as: Ontario Name Change Application · Form 11155 · Change of Name Act Form 5 · Legal Name Change Ontario · Adult Name Change Form

Contents

CONTENTS

One application, seven parts

Form 11155E is the Ontario application that legally changes the name of a person who is 16 or older and has lived in Ontario for at least the last 12 months. It goes to the Office of the Registrar General in Thunder Bay. When the change is approved you get a change of name certificate, and if you were born in Ontario, a new birth certificate in the new name.

The current edition, 11155E (2026/05), runs to 21 pages: four pages of instructions and addresses, then Parts 1 to 7 numbered as 17 pages. Not every part applies to everyone, but the Registrar General asks for every page to be sent back, so the document you receive from us keeps all 21 pages in the official order.

Who fills in which part

PartWho completes itOn this page
Address pageYouFilled in from your answers
Part 1, sections A to EYouFilled in from your answers
Part 2, Notice FormYou, then your spouse or partner signs the acknowledgementYour part filled in; your spouse signs at home
Part 3, Consent FormOnly for applicants aged 16 or 17 who are not marriedYour part filled in when you tick the box
Part 4, Guarantor's StatementYour name at the top; the guarantor completes the restYour name filled in
Part 6, Statutory DeclarationYou sign and initial before a commissionerYour name filled in; signed on the call
Part 7, PaymentWhoever pays the feeLeft blank, we never ask for card details

Married or in a common-law union: the Notice

If you are married, or separated but not divorced, the Change of Name Act requires you to give notice to your spouse. The same applies if you once signed a Joint Declaration of Conjugal Relationship and never revoked it. Part 2 is that notice: you fill in the top half, and your spouse or partner signs the acknowledgement at the bottom.

Notice does not mean permission, and the acknowledgement is not sworn, so your spouse does not come to the video call. Our form prints your part of the notice; your spouse signs the acknowledgement at home. If they will not sign, you send the notice by registered mail and include the receipt with your application.

The guarantor and the 12 months in Ontario

Part 4 proves that you have been ordinarily resident in Ontario for at least 12 months. A guarantor signs it: someone from the list printed on the form, such as a lawyer, a physician, a school principal, a bank manager or a municipal clerk. If you cannot find one, the form allows a person who is not a relative and has known you for at least five years.

The guarantor statement is not sworn, so the guarantor does not need to come to the call. You print the page we send you and the guarantor completes and signs the bottom half by hand. Your name at the top is already filled in.

Answers that cause delays

  1. A current name that does not match the birth certificate. Part 1 asks for your legal name now. If you use a married name that was never registered, read the notes in Part 5 before you start.
  2. Reasons left vague. Section C asks for all the reasons. A short, honest explanation is enough, but it should be complete.
  3. A Yes in section D without the police check. Answering Yes to questions 2 to 5 means you also send an original police record check of the right type.
  4. Missing initials. The statutory declaration has a box for your initials. You add them on the video call, together with your signature.
  5. Translations without a declaration. Documents in other languages need a translation and a translator's declaration. A non-professional translator swears it before a commissioner, which can be added to the same booking.

What you send and what you get back

Mail the signed application, the original certificates listed in Part 5, any notice or consent forms, the police check if needed, and the fee of $137 for an adult name change, payable to the Minister of Finance. Fees can change, so check the amount printed on Part 7 before you pay. Unless an exception applies, the change is published in The Ontario Gazette.

Signing 11155E by video

Press Book and Sign and the completed application is attached to your appointment. On the call the commissioner checks your photo ID, you initial the box and sign the statutory declaration on screen, and the commissioner completes the "Declared before me" section. If a Notice is needed, you sign your part of it on the same call. The signed PDF is emailed to you to print, add the guarantor page, and mail.

FAQ

Can I fill out 11155E online?

Yes. Answer the questions on this page; your answers are written onto the official 21 pages. You then sign the statutory declaration with a commissioner by video.

Does my spouse have to be on the call?

No. Only you sign before the commissioner. If you are married, your spouse signs the acknowledgement on the Notice Form at home, or you send it by registered mail.

Does the guarantor need to be on the call?

No. The guarantor statement is not sworn. The guarantor fills in and signs the printed page by hand.

Can I change my child's name at the same time?

Children's names are changed with a separate application for a child. It is not part of this form.

Do you send the application for me?

No. You mail it to the Office of the Registrar General with the documents and fee. We commission the statutory declaration.

Can I download the filled application?

No. It is attached to your booking and signed at your video appointment; the signed PDF is emailed to you afterwards.

READY WHEN YOU ARE

Fill in 11155E and sign it by video

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