Lynchburg, OH · Highland County

No notary required

Change of Name Request

The Village of Lynchburg form lets a requester ask to change a name and provide account details, the reason, an effective date, and contact information.

What this form is

Use this form to request a name change with the Village of Lynchburg. It asks for the name to change from and to, the reason, effective date, account number, phone number, signature, and date; the form does not state when the Village requires it.

Who needs it

Anyone requesting a name change with the Village of Lynchburg can use this form to provide the requested account and contact details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This request is signed and dated without a notary; the form lists no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Change of Name Request PDF.

  2. 2

    Complete The Request

    Enter the requested name, reason, effective date, account number, and phone number.

  3. 3

    Check For Attachments

    The form does not list any attachments.

  4. 4

    Submit The Request

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Change of Name Request ask for?
It asks for the name change from and to, the reason, effective date, account number, phone number, signature, and date.
Do I need a notary for the Change of Name Request?
No. This form is signed and dated without a notary, and it lists no notarized or sworn attachment.
How do I submit the Change of Name Request?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Change of Name Request doesn’t need a notary — but if you have another Lynchburg form that does, a commissioned online notary can help.