Apply online for an Adult Deed Poll

To apply for a Deed Poll simply complete and submit the application form below. Payment can then be made safely and securely by credit or debit card. To see our fees click here.

You must be at least 16 years of age to complete this application form.

If you need assistance completing this form please call our Freephone Helpline on 0800 983 0143.

Section 1
Delivery details
This is the name and address we will put on the envelope when we post your Deed Poll to you. All Deed Polls are posted within one working day via first class mail. There is no charge for this delivery service.

Full name:	* * Denotes a mandatory field

Address line 1:	*

Address line 2:

Postcode:	*

Any additional information:

Section 2
Personal details
Your current name, new name and address will appear on your Deed Poll document. Your title will only appear on your Deed Poll if you are changing it.

Current title:


Current forenames: (Your first name and any middle names.)	*

Current surname:	*

New title:


If you wish to change your title to something other than Mr, Mrs, Miss or Ms then after submitting your application please post us documentary evidence of your entitlement to use your desired title. Click here for our postal address. If we do not receive satisfactory evidence of your entitlement to use your new title or we do not accept your new title, we will proceed with your application but omit your change of title. Therefore, your Deed Poll document will only show your name change.

New forenames: (If there is no change enter current forenames)	*

New surname: (If there is no change enter current surname)	*

First line of address:

This is the address that will appear on your Deed Poll document and should be your permanent residential address. You only need to complete this if it is different to the delivery address you provided in Section 1.

Postcode:

Date of birth:	*

Nationality:	*

If you are not British or you are a British national living outside the United Kingdom click on this link to check if you are eligible to apply for a Deed Poll.

Any additional information:

Section 3
Your contact details
Please fill in your contact details below in case we have a query regarding your application.

E-mail address:	*

If you would prefer not to be contacted by telephone you can choose to leave the spaces below blank.

Telephone number:

Name you are known by at this number:

Best time to call:

Section 4
Payment
Payment can be made by credit or debit card. Click the payment button below to make payment through WorldPay’s secure server.

Please check your details carefully before submitting your application.