all that apply)}i (2 ORDEREDthat Petitioner shall serve acertified copy of this order upon the following parties based upon.thefollowing reasoning and.

(J ORDEREDthat Petitioner shallserve acertified copy of this order uponthefollowingcity, state or federal agenciesbased upon the following reasoning and good cause:

[-]ORDEREDthat, Petitioner havirigbeen convicted of anoffense listed in Civil Rights Law section 64(2)(a), the court clerk shall deliver a.certified copyofthis order byflfirst-class.mail Woto the Division of Criminal Justice Services; andit is further,-- L] ORDEREDthat Petitioner, being responsible for child support obligations pursuantto a court order, shall delivera certified copy of this orderbyfirst-class mail to the following court that issuedthe child support order: and the Child SupportCollection Unit: ;andit is further, C] ORDEREDthat Petitioner, beingresponsibleforspousal support obligations pursuantto a court order, shall delivera certified copy ofthisorderbyfirst-class mailto the following courtthat issued the spousal support order: and It isfurther, [] ORDERED CatPetitioner's request or O.sua spontethat the court record of this name changé.proceedingis sealed.pursuant to the Court's finding that an open record of Petitioner's name change would jeopardize Petitioner's personal safety based upon the totality of the circumstances and may be openedonly bycourt order for good cause shown or at Petitioner's request; andit is further,

andit is further, OPTIONAL PROVISIONS(checkall that apply): C] ORDEREDthatPetitioner-is authorized to.amendtheir sex designation on the following identity documents: C] ORDERED CatPetitioner's request or Osua spontethat thecourt record of this sex designation changeproceeding is sealed and maybe opened only by court order for good cause shown orat Petitioner's request; andit.is: further,

ORDEREDthatthis Order be entered and the papers-on which it was grantedbefiledinthe office of the CountyClerk of New York _ County; andit is further, ORDEREDthatthe authorizations contained tingent upon Petitioner's full compliance