Title: Petition to Change Name [file: name
Author: Elizabeth Brandt
Last saved by: Imelda Ramirez
Company: State of Idaho | Supreme Court

Full Name of Party Filing Document

Mailing Address (Street or Post Office Box)	

City, State and Zip Code

Telephone

Email Address (if any)

IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 							

IN RE:		

	Legal names of children

Case No. 									

REDACTED PETITION FOR NAME CHANGE (Minors)

Fee Category:  				
Filing Fee:

Complete Section A, B, or C based on who is filing the petition.
I certify:
A. Both Parents are Filing the Petition Together
1.	We are the parents of the above children, and are filing this petition together.  Our full legal names and residences are:
Name:																							
Address: 																							
Name:																							
Address: 																							

B. Only One Parent Is Filing the Petition
1.	I am a parent of the above children, and I am filing this petition without the other parent.  My full legal name and residence are listed above.
2.	 a. The children’s other parent is living; the other parent’s name and address are:
Name:																						
Address: 																						
 The address is unknown.
 b. The children’s other parent is deceased.
C. A Guardian Is Filing the Petition
1.	I am filing this petition as the guardian of the children.  My full legal name and residence are listed above.
2.	Children’s Parents’ Information
a. The children’s  father  mother is living, his/her name and address are:
Name:																							
Address: 																						
 The address is unknown.
b. The children’s  father  mother is living, his/her name and address are:
Name:																							
Address: 																						
 The address is unknown.
c.   The children’s  father  mother is deceased.
3. 	 Children’s Grandparent’s Information (if applicable)
Only list information about the children’s grandparents if one of the following is true:
 I am a guardian, and one or both of the parents’ addresses are unknown,
	 I am a guardian, and both of the children’s parents are deceased,
The name(s) and address(es) of the children’s living grandparents are:  																														
 																								.
D. Children’s Information
1.	Children's information:
a. (name) 													was born on (year of birth) xx/xx/		    in the city of 											, county of 									, state of 								 and resides at 																																				.
The child’s name should be changed to 														.
b. (name)													was born on (year of birth) xx/xx/		  in the city of 											, county of 									, state of 								 and resides at 																																				.
The child’s name should be changed to 														.
c. (name) 													was born on (year of birth) xx/xx/		   in the city of 										, county of 								, state of 								 and resides at 																																					.
The child’s name should be changed to 														. 
2.	The reason I want to change the children’s names is:																																																													.
3.	The name changes are not to avoid creditors or outstanding debts. None of these children are required to register as a convicted sexual offender under Chapter 83, Title 18, Idaho Code, or under the provisions of similar laws enacted by another state.
4.	I ask that a Deputy Clerk of the Court Issue a Notice of Hearing in this case to be published for four (4) successive weeks in (newspaper name)  												
newspaper designated by the court as most likely to give notice in:				 			 County, the County where the children reside (visit http://www.isc.idaho.gov/Name-Change-Publications for a list of newspapers by county).

WHEREFORE, I ask that the Judge sign a Judgment changing the children’s names as I have asked.
CERTIFICATION UNDER PENALTY OF PERJURY
I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct.

Date: 											

																			
Typed/printed name 	 				 	Signature

REDACTED PETITION FOR NAME CHANGE OF MINORS									Page 
CAO NCM 1-4   07/01/2019