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FORM 12.982(d),: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Florida)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW
FORM 12.982(d),
CONSENT FOR CHANGE OF NAME (MINOR CHILD(REN))
(02/18)
When should this form be used?
This form should be used when one parent consents to the other parent’s petition to change the name of
their minor child(ren). A parent who is not a petitioner in the case but is consenting to the change of
name should complete this form and sign it in front of a notary public or deputy clerk.
This form should be typed or printed in black ink. After this form is signed and notarized, you should file
it with the clerk of the circuit court in the county where the petition was filed and keep a copy for your
records. This form should be attached to the Petition for Change of Name (Minor Child(ren)), Florida
Supreme Court Approved Family Law Form 12.982(c), if obtained prior to the filing of the petition.
Otherwise, it may be filed separately after it has been completed.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be
filed electronically except in certain circumstances. Self-represented litigants may file petitions or other
pleadings or documents electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance with Florida Rule of
Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
Where can I look for more information?
Before proceeding, you should read General Information for Self-Represented Litigants found at the
beginning of these forms. For further information see section 68.07, Florida Statutes, and the instructions
for Petition for Change of Name (Minor Child(ren)), Florida Supreme Court Approved Family Law Form
12.982(c), or Petition for Change of Name (Family), Florida Supreme Court Approved Family Law Form
12.982(f).
Special notes...
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of
Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form
he or she helps you complete.
Instructions for Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor
Child(ren))(02/18)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
IN RE: THE NAME CHANGE OF
___________________,
Petitioner.
CONSENT FOR CHANGE OF NAME (MINOR CHILD(REN))
I, {full legal name} , being sworn, certify that the
following information is true:
I am the birth or legal parent of the minor child(ren) named in this case, and I give consent for the following
name changes:
Minor child(ren)’s complete present name(s):
(1)
(2)
(3)
(4)
(5)
(6)
Minor child(ren)’s name(s) to be changed to:
(1)
(2)
(3)
(4)
(5)
(6)
Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren))
(02/18)
_____________________________________________
_____________________________________________
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this
consent and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.
Dated:___________________
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on
Signature of Consenting Parent
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Designated E-mail Address(es): ____________________
by .
NOTARY PUBLIC or DEPUTY CLERK
{Print, type, or stamp commissioned name of notary or
clerk.}
__Personally known
__Produced identification
Type of identification produced
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[fill in all blanks] This form was prepared for the: {choose one} _____ Petitioner _____Consenting Parent
This form was completed with the assistance of:
{name of individual} ___________________________________________________________________,
{name of business} _____________________________________________________________________,
{address} _____________________________________________________________________________,
{city} _______________,{state}_____,{zip code}_____________, {telephone number} .
Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren))
(02/18)
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FORM 12.982(d),: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Florida)

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Completed 10 January 2021

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