On April 08, 2016 a
Complaint,Petition
was filed
involving a dispute between
Huff, Michelele Rene,
and
for 43 Unlimited - Other Petition (not specified)
in the District Court of Fresno County.
Preview
NAME:
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Attorney M.R. Huff
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ATTORNEY OR PARTY wrrnom ATTORNEY (Name, State Bar number, and address): STATE BAR NO:
269472 I
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Nc-zoo
FIRM NAME:Huff Law Offices. PC t
STREET ADDRESS:4974 N. Fresno Street #657
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Fresno CA 93726
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CITY: STATE: ZIP CODE: l
None
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TELEPHONE No.: 213-709-6241 FAX N0-
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E—MAILADDRESS: Huff@HuffLegal.com I
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ATTORNEY FOR (Name):Michelle Renee Huff (Petitioner)
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF FRESNO i
STREETADDRESS: 1100 Van Ness Avenue
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MAILING ADDRESS:Same as above
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cm AND ZIP CODE: Fresno 93724
By
FRESNO SUPERIOR COURT
BRANCH NAME: Fresno County Superior Court
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DEPUTY
PETITION OF (Name):
Michelle Renee Huff
CA§E NUMBER:
PETITION FOR CHANGE OF NAME AND GENDER CE 93 '0 1'0 '5}
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1 1.
Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name and Gender on the next
page. You must answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior
court of the county where the person whose name is to be changed resides.
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Renee a resident of th's county.
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1. Petitioner (present name): Michelle Huff is
2. Petitioner requests that the courtdecree that name is changed to (proposed name):
petitioner‘s
Michel Rene Huff
3. Petitioner requestsa decree that the petitioners gender is changed:
a. [Q] from male to female.
b. [(Q] from female to male.
4. An affidavit or a declaration of a physician documenting the gender change through clinically appropriate treatment as provided
under Health and Safety Code sections 103425 and 103430 is attached to this petition. (Declaration of Physician (form NC-210)
may be used for this purpose.)
a new be issued reflecting the gender and name changes sought by
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5. Petitioner requests that the court order that birth certificate
this petition.
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6. an order directing
Petitioner requests that the court issue allinterested persons toappear and show cause why the petition; for
change of name should not be granted.
-7 Petitioner provides the following information in support of this petition: ~
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a. The information contained in the physician’s affidavit or declaration.
b—f. The information contained inthe attachment (attach a completed copy of the attachment Name and Information Abo‘ut
the Person Whose Name Is toBe Changed (form NC-110)). i
160ECGU1105
NGP
Petition for name change Illed
252287
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on next page)
(Instructions Page 1 of 2
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Form Adopted for Mandatory Use Code of Civil Procedure, s 1275 et seq.;
Health and Safety Code, §§ 103430, 103435
AND GENDER
Judicial Council of California
Nc-2oo [Rev. July 1, 2014] www:.courts.ca.gov
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andggl am not
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California Department of Correcti0n§,j(lnj§t§tepri50h or on
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required to register as a sex'offehder unden Penal Code se'ctiOn 290.
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(if petitioner represented by an"attorney, the
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Date: 7
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(SiGNATURE OF ATTORNEY)
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(Eaéh petitioner rnust sign this petition in the space provided below or, if additional pa
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fies are attachedhat the end of the last
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attachment.) Ideclare under penalty of perjury under the laws of the St ate of_
California that the information in the foregoing petition
true and correct.
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Date:
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(TYPEOR PRINT NAME)
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(TV PEEEGREERJNENAMEKLt
[:3 ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS
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W ST ATTACHMENT
Form Adopted for Mandatory Use I
JUdiCial counc“ of caliromla Code of Civil
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‘
Procedure, 5 1275 et seq.
NC-110[Rev. Juiy1,2014] PETITION FOR CHANGE OF NAME
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NC-210iNC-310
_ PETITION OF (Name): CASE NUMBER: .
Mlchel Rene Huff
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Pagefibfififl
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DECLARATION OF PHYSICIAN
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DOCUMENTING CHANGE OF GENDER THROUGH CLINICALLY APPROPRIATE TREATMENT
UNDER HEALTH AND SAFETY CODE SECTIONS 103425 AND 103430
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Attachment Change of Name and Gender (form NC-200)
to Petition for Change of Gender and Issuance
or Petition for of New
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lBirth
Certificate (formNC-SOO) :
I,Ronald Berman, MD, Medical License #A23 897, issued by the State of California, DEA # BB7719226,
am the physician of Michel Rene Huff, with whom I have a doctor/patient relationship and whose I
medical history I have reviewed the evaluated.
Michel Rene Huff, is in the process of gender change transition and is undergoing appropriate clinical
treatment for gender transition to the new gender.
I declare under penalty of perjury under the laws of the United States the forgoing istrue and correct.
Ideclare under penalty of perjury under the laws of the State of California that the information
inthe foregoing declaration
istrillie
and correct.
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Datei 03-02-2016
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éa./
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MD
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Ronald Berman, P z»:
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(TYPEOR PRINT NAME OF PHYSICIAN) (SIGNATURE OF PHYSJCIAN)’
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Page 0H
Cm §§ Toff;
1
Judicialcoundlomemomia DECLARATION
Form Approved for Optional Use
OF PHYSICIAN—ATTACHMENT .TO PETITION “63"” and Safe“!
1105335
Nc-210/NC-31oiRev. January 1. 20121 (Change of Name and Gender/Change of Gender) '
www.cou‘lrtscagov
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Document Filed Date
April 08, 2016
Case Filing Date
April 08, 2016
Category
43 Unlimited - Other Petition (not specified)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
NAME: I Attorney M.R. Huff ‘ ATTORNEY OR PARTY wrrnom ATTORNEY (Name, State Bar number, and address): STATE BAR NO: 269472 I I Nc-zoo FIRM NAME:Huff Law Offices. PC t STREET ADDRESS:4974 N. Fresno Street #657 I I Fresno CA 93726 ‘I CITY: STATE: ZIP CODE: l None I TELEPHONE No.: 213-709-6241 FAX N0- E | = l E—MAILADDRESS: Huff@HuffLegal.com I I ATTORNEY FOR (Name):Michelle Renee Huff (Petitioner) '~ I l SUPERIOR COURT OF CALIFORNIA, COUNTY OF FRESNO i STREETADDRESS: 1100 Van Ness Avenue a8 i I MAILING ADDRESS:Same as above l cm AND ZIP CODE: Fresno 93724 By FRESNO SUPERIOR COURT BRANCH NAME: Fresno County Superior Court I DEPUTY PETITION OF (Name): Michelle Renee Huff CA§E NUMBER: PETITION FOR CHANGE OF NAME AND GENDER CE 93 '0 1'0 '5} ‘ 6' 1 1. Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name and Gender on the next page. You must answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the county where the person whose name is to be changed resides. ~ [ | Renee a resident of th's county. I 1. Petitioner (present name): Michelle Huff is 2. Petitioner requests that the courtdecree that name is changed to (proposed name): petitioner‘s Michel Rene Huff 3. Petitioner requestsa decree that the petitioners gender is changed: a. [Q] from male to female. b. [(Q] from female to male. 4. An affidavit or a declaration of a physician documenting the gender change through clinically appropriate treatment as provided under Health and Safety Code sections 103425 and 103430 is attached to this petition. (Declaration of Physician (form NC-210) may be used for this purpose.) a new be issued reflecting the gender and name changes sought by l 5. Petitioner requests that the court order that birth certificate this petition. | 6. an order directing Petitioner requests that the court issue allinterested persons toappear and show cause why the petition; for change of name should not be granted. -7 Petitioner provides the following information in support of this petition: ~ | a. The information contained in the physician’s affidavit or declaration. b—f. The information contained inthe attachment (attach a completed copy of the attachment Name and Information Abo‘ut the Person Whose Name Is toBe Changed (form NC-110)). i 160ECGU1105 NGP Petition for name change Illed 252287 i ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ I I l on next page) (Instructions Page 1 of 2 { Form Adopted for Mandatory Use Code of Civil Procedure, s 1275 et seq.; Health and Safety Code, §§ 103430, 103435 AND GENDER Judicial Council of California Nc-2oo [Rev. July 1, 2014] www:.courts.ca.gov | ~ ~ ~ ~~ i ~ i j-who'senamewnl hehhanged ~ 18 years ie'un‘f’c‘ifier ~ prov'id fi‘age, and addresses! of'th e: ~~~ thefinanjes known! ~ ~ | i ~ i i_ ~~~ J ~ i i .I' ' ‘ 'I .. ' -..'I I7 'idlioMng'deOiaration: ' '- Q - I __ ~~ l declare‘undervp’enalty of perjury under the Jaws of ’th. fécaiifor'nia that not am under the andggl am not ‘t lar‘n :15 California Department of Correcti0n§,j(lnj§t§tepri50h or on I jurisdictionfofvthe " ~ ~ am V ~ required to register as a sex'offehder unden Penal Code se'ctiOn 290. parole) ' I:] I { "I ' - ., . - _ _ HM}, m; ~ - 235% P WERINIQNWE - 0F PERSON WHOSE NAME |§'TOIBE c_HANGfiD) . " ~~ ,I. ;._ ~ V. aw. ~ ' ~ - " 1E3?“THREQQEEEPfONfl/IORN§ME148 ~ TOBE QHANGEDH (if petitioner represented by an"attorney, the I is aittOrney's signature fol/0W5): Date: 7 ' i I ' ' i ' ' ' ‘ i it : (TYPE'OR PRINTNAIVIE)” ~ ' I .i 'iI :- I ~ . ,. u (SiGNATURE OF ATTORNEY) . x V I . (Eaéh petitioner rnust sign this petition in the space provided below or, if additional pa _ I fies are attachedhat the end of the last i attachment.) Ideclare under penalty of perjury under the laws of the St ate of_ California that the information in the foregoing petition true and correct. ‘ ' is Date: WI (TYPEOR PRINT NAME) ~ Km / - wit-av ' 5' Fffla~ 1/4) ‘ ' (TV PEEEGREERJNENAMEKLt [:3 ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS I W ST ATTACHMENT Form Adopted for Mandatory Use I JUdiCial counc“ of caliromla Code of Civil . ‘ Procedure, 5 1275 et seq. NC-110[Rev. Juiy1,2014] PETITION FOR CHANGE OF NAME i r ' ‘ . ' . , I I NC-210iNC-310 _ PETITION OF (Name): CASE NUMBER: . Mlchel Rene Huff . 4, i . I Pagefibfififl ~ ~ ~ DECLARATION OF PHYSICIAN ‘' ' DOCUMENTING CHANGE OF GENDER THROUGH CLINICALLY APPROPRIATE TREATMENT UNDER HEALTH AND SAFETY CODE SECTIONS 103425 AND 103430 ' l Attachment Change of Name and Gender (form NC-200) to Petition for Change of Gender and Issuance or Petition for of New I lBirth Certificate (formNC-SOO) : I,Ronald Berman, MD, Medical License #A23 897, issued by the State of California, DEA # BB7719226, am the physician of Michel Rene Huff, with whom I have a doctor/patient relationship and whose I medical history I have reviewed the evaluated. Michel Rene Huff, is in the process of gender change transition and is undergoing appropriate clinical treatment for gender transition to the new gender. I declare under penalty of perjury under the laws of the United States the forgoing istrue and correct. Ideclare under penalty of perjury under the laws of the State of California that the information inthe foregoing declaration istrillie and correct. I I Datei 03-02-2016 l éa./ ' MD ‘ Ronald Berman, P z»: I I (TYPEOR PRINT NAME OF PHYSICIAN) (SIGNATURE OF PHYSJCIAN)’ I Page 0H Cm §§ Toff; 1 Judicialcoundlomemomia DECLARATION Form Approved for Optional Use OF PHYSICIAN—ATTACHMENT .TO PETITION “63"” and Safe“! 1105335 Nc-210/NC-31oiRev. January 1. 20121 (Change of Name and Gender/Change of Gender) ' www.cou‘lrtscagov I I i