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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW (Florida)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY
LAW FORM 12.982(c)
PETITION FOR CHANGE OF NAME (MINOR CHILD(REN))
(02/18)
When should this form be used?
This form should be used when parents want the court to change the name of their minor
child(ren). For the purposes of this proceeding, a person under the age of 18 is a minor. This form
is not to be used in connection with an adoption, dissolution of marriage, or paternity action. If
you want a change of name for your child(ren) because of an adoption or paternity action that is
not yet final, the change of name should be requested as part of that case.
This form should be typed or printed in black ink and must be signed before a notary public or
deputy clerk. You should file the original with the clerk of the circuit court, in the county where
you live and keep a copy for your records. The Petition should only be completed by one
Petitioner for one child. If you wish to change the name of more than one child or if there is more
than one Petitioner, you should complete and file a Supplemental Form for Petition for Change of
Name (Minor Child) for each child and/or a Supplemental Form for Petition for Change of Name.
The supplemental form(s) is an attachment to the petition. Be sure that the bottom of each page
of each supplemental form is initialed by the petitioner(s).
What should I do next?
Unless you are seeking to restore a former name, each adult petitioner(s)’s fingerprints must
be submitted for a state and national criminal history records check. The fingerprints must be
taken in a manner approved by the Department of Law Enforcement. The fingerprints must be
submitted to the Department of Law Enforcement for a state and national criminal history records
check. The Petitioner(s) may not request a hearing on the Petition until the copy of the
fingerprints are filed and the clerk of court has received the results of the criminal history
records check. The clerk of court can instruct you on the process for having the fingerprints taken
and submitted, including information on law enforcement agencies or service providers
authorized to submit fingerprints electronically to the Department of Law Enforcement. The
process may take several weeks and the parent or guardian of the minor must pay the cost of
processing the fingerprints and conducting the state and national history records check. Please
note that the state and national criminal records check must indicate whether you have
registered as either a sexual predator or a sexual offender and you must also indicate on this
petition whether you have ever been required to register as a sexual predator under section
775.21, Florida Statutes, or as a sexual offender under section 943.0435, Florida Statutes.
If both parents agree to the change of name and live in the county where the change of name is
Instructions for Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name
(Minor Child(ren)) (02/18)
sought, you may both file as petitioners. In this situation, service is not necessary, and you need
only to set a hearing. You should ask the clerk of court, family law intake staff, or judicial assistant
about the local procedure for setting a hearing.
If only one parent is a resident of the county where the change of name(s) is sought or only one
parent asks for the child(ren)’s name(s) to be changed, the other parent must be notified and his
or her consent obtained, if possible. If the other parent consents to the change of name, a
Consent for Change of Name (Minor Child(ren)), Florida Supreme Court Approved Family Law
Form 12.982(d), should be filed.
If the other parent does not consent to the change of name, you may still have a hearing on the
petition if you have properly notified the other parent about your petition and the hearing. If you
know where he or she lives, you must use personal service. If you absolutely do not know where
he or she lives, you may use constructive service. For more information about personal and
constructive service, you should refer [to] the “General Instructions for Self-Represented
Litigants” found at the beginning of these forms and the instructions to Florida Family Law Rules
of Procedure Forms 12.910(a) and 12.913(b) and Florida Supreme Court Approved Family Law
Form 12.913(a). However, the law regarding constructive service is very complex and you may
wish to consult an attorney regarding that issue.
Next, you must obtain a final hearing date for the court to consider your request. If you are
seeking to restore a former name, a hearing on the petition MAY be held immediately after the
petition is filed. The final hearing on any other petition for a name change may be held
immediately after the clerk of court receives the results of your criminal history records check.
You should ask the clerk of court, family law intake staff, or judicial assistant about the local
procedure for setting a hearing. You may be required to attend the hearing. Included in these
forms is a Final Judgment of Change of Name (Minor Child(ren)), Florida Supreme Court
Approved Family Law Form 12.982(e), which may be used when a judge grants a change of name
for a minor child(ren). If you attend the hearing, you should take the final judgment with you.
You should complete the top part of the form, including the circuit, county, case number, division,
and the name(s) of the petitioner(s) and leave the rest blank for the judge to complete. It should
be typed or printed in black ink.
If the judge grants your petition, he or she will sign this order. This officially changes your
child(ren)’s name(s). The clerk can provide you with certified copies of the signed order. There
will be charges for the certified copies, and the clerk can tell you the amount of the charges.
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.
Instructions for Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name
(Minor Child(ren)) (02/18)
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.
IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION
After the initial service of process of the petition or supplemental petition by the Sheriff or
certified process server, the Florida Rules of Judicial Administration now require that all
documents required or permitted to be served on the other party must be served by electronic
mail (e-mail) except in certain circumstances. You must strictly comply with the format
requirements set forth in the Rules of Judicial Administration. If you elect to participate in
electronic service, which means serving or receiving pleadings by electronic mail (e-mail), or
through the Florida Courts E-Filing Portal, you must review Florida Rule of Judicial Administration
2.516. You may find this rule at www.flcourts.org through the link to the Rules of Judicial
Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the
A-Z Topical Index.
SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT
REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-
mail, the procedures must always be followed once the initial election is made.
To serve and receive documents by e-mail, you must designate your e-mail addresses by using the
Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law
Form 12.915, and you must provide your e-mail address on each form on which your signature
appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General),
Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E-
mail Address, Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of
Judicial Administration 2.516.
Special notes...
The heading of the form calls for the name(s) of the petitioner(s). This means the parent(s) who
is (are) requesting the change of their child(ren)’s name(s). The judicial circuit, case number, and
division may be obtained from the clerk of court’s office when you file the petition.
It may be helpful to compile a list of all of the people and places that will need a copy of the final
Instructions for Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name
(Minor Child(ren)) (02/18)
judgment. This list may include the driver’s license office, social security office, banks, schools,
etc. A list will help you know how many copies of your order you should get from the clerk of
court after your hearing.
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(c), Petition 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,
,
Petitioner.
PETITION FOR CHANGE OF NAME (MINOR CHILD(REN))
I/We, {full legal name(s)} , being sworn, certify that the following
information is true:
I am/We are the birth or legal parent(s) or guardian of the minor child(ren) named in this petition.
[Choose only one]
____ There is only one minor child named in this petition.
____ There are {enter number of children} children named in this petition. The information on the
first child is entered below. I/We have attached the completed supplemental forms for each other child.
The adult petitioner(s)’s fingerprints have been taken in a manner approved by the Department of Law
Enforcement and submitted for a state and national criminal history records check. I /We understand
that I/we cannot request a hearing on my/our Petition until the clerk of court receives the results of
the criminal history records check. I/we also understand that the state and national records check must
indicate whether I/we have registered as either a sexual predator or a sexual offender.
A. THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # 1 :
1. The minor child’s complete present name is:
I/We request that this minor child’s name be changed to:
2. The minor child lives in County, Florida, at {street address}
.
3. The minor child was born on {date} , in {city, county, state, country}
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
.
4. The minor child’s parents’ full legal names are:
a. ____________________________________________________________ and
b. __________________________________________________________.
c. {If applicable} The minor child’s parents' maiden name(s) is/are: ____________________
and ________________________________________.
5. The minor child has lived in the following places since birth:
Dates (to/from) Address
_______/________ ______________________________________________________
_______/________ ______________________________________________________
_______/________ _______________________________________________________
_______/________ ______________________________________________________
_______/________ ______________________________________________________
(____ Please indicate here if you are continuing these facts on an attached page.)
6. [Choose one only]
_____The minor child is not married.
_____ The minor child is married to: {full legal name} __________________________________.
7. [Choose one only]
_____The minor child has no children.
_____The minor child is the parent of the following child(ren):
Name {last, first, middle initial} Date of Birth
(______Please indicate here if you are continuing these facts on an attached page.)
8. Former names.
[Indicate all that apply]
_____The minor child’s name has never been changed by a court.
_____The minor child’s name previously was changed by court order from _______________
to on {date} ,
by {court, city, and state} .
A copy of the court order is attached.
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
_________________________________________________________________________
_________________________________________________________________________
______________________________________________________________________________
_________
_____The minor child’s name previously was changed by marriage from _________________
to on {date} ,
in {city, county, and state} .
A copy of the marriage certificate is attached.
_____The minor child has never been known or called by any other name.
_____The minor child has been known or called by the following other name(s): {list name(s) and
explain where child was known or called by such name(s)} ______________________
9. The minor child is not employed in an occupation or profession, does not own and operate a
business, and has received no educational degrees. If the minor child has a job, explain:
10. Criminal History
[Indicate all that apply]
_____ The minor child has never been arrested for or charged with, pled guilty or nolo
contendere to, or been found to have committed a criminal offense, regardless of
adjudication.
_____ The minor child has a criminal history. In the past, the minor child was arrested for or
charged with, pled guilty or nolo contendere to, or been found to have committed a
criminal offense, regardless of adjudication. The details of the criminal history are:
Date City/State Event (arrest, charge, plea, or adjudication)
(_____ Please indicate here if you are continuing these facts on an attached page.)
_____ The minor child _____ has _____has not ever been required to register as a sexual predator
under section 775.21, Florida Statutes.
_____ The minor child _____has _____has not ever been required as a sexual offender under
section 943.0435, Florida Statutes.
11. Money Judgments.
[Choose one only]
_____ The minor child has never been adjudicated bankrupt, and no money judgment has ever
been entered against him or her.
_____ The following money judgment(s) has been entered against him or her:
Date Amount Creditor Court entering judgment and case number {date} if Paid
_________
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
______________________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
B. THE FOLLOWING INFORMATION IS TRUE ABOUT PETITIONER(S):
_____ PARENT _____ GUARDIAN
_____ A Supplemental Form has been attached for the other parent or petitioner.
1. My complete present name is: __________________________________________________
2.I live in ________________ County, Florida, at {street address} ________________________
______________________________________________________________________________.
3. Bankruptcy
{Choose one only}
_____I have never been adjudicated bankrupt
_____I was adjudicated bankrupt on {date} ___________, in {city}_________________________
{county} ____________________, {state}________________.
(_____ Please indicate here if you have filed additional bankruptcies, and explain on an attached
page.
4. Creditor(s)’ Judgments
{Choose one only}
_____ I have never had a money judgment entered against me by a creditor.
_____The following creditor)s)’ money judgments have been entered against me:
Date Amount Creditor Court entering judgment and case number If Paid {date}
(_____ Please indicate here if these facts are continued on an attached page.)
5. Criminal History
{Indicate all that apply}
_____ I have never been arrested for or charged with, pled guilty or nolo contendere to, or been
found to have committed a criminal offense, regardless of adjudication.
_____ I have a criminal history. In the past I have been arrested for or charged with, pled guilty or
nolo contendere to, or been found to have committed a criminal offense, regardless of
adjudication. The details of my criminal history are:
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date City/State Event (arrest, charge, plea, or adjudication)
(_____ Please indicate here if these facts are continued on an attached page.)
I _____ have _____ have not ever been required to register as a sexual predator under section
775.21, Florida Statutes.
I _____ have _____ have not ever been required to register as a sexual offender under section
943.0435, Florida Statutes.
6. I have no ulterior or illegal purpose for filing this petition, and granting it will not in any
manner invade the property rights of others, whether partnership, patent, good will, privacy,
trademark, or otherwise.
7. My civil rights have never been suspended, or, if ever suspended, they have been fully
restored.
Florida Supreme Court Approved Family Law Form 12.982(c), Petition 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
petition and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.
Dated:
Signature of Petitioner
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Designated E-Mail Address(es)_____________________
STATE OF FLORIDA
COUNTY OF
_____________________________________________
Sworn to or affirmed and signed before me on 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 Petitioner.
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(c), Petition for Change of Name (Minor Child(ren))
(02/18)
______________________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
ADULT SUPPLEMENTAL FORM FOR PETITION FOR CHANGE OF NAME (MINOR CHILD(REN))
Case No.: ______________________________
THE FOLLOWING INFORMATION IS TRUE ABOUT PETITIONER(S):
_____ PARENT _____ GUARDIAN
1. My complete present name is: __________________________________________________
2. I live in ________________ County, Florida, at {street address} ___________________________
______________________________________________________________________________.
3. Bankruptcy
{Choose one only}
_____I have never been adjudicated bankrupt
_____I was adjudicated bankrupt on {date} ___________, in {city}_________________________
{county} ____________________, {state}________________.
(_____ Please indicate here if you have filed additional bankruptcies, and explain on an attached page.
4. Creditor(s)’ Judgments
{Choose one only}
_____ I have never had a money judgment entered against me by a creditor.
_____The following creditor)s)’ money judgments have been entered against me:
Date Amount Creditor Court entering judgment and case number If Paid {date}
(_____ Please indicate here if these facts are continued on an attached page.)
5. Criminal History
{Indicate all that apply}
_____ I have never been arrested for or charged with, pled guilty or nolo contendere to, or been
found to have committed a criminal offense, regardless of adjudication.
_____ I have a criminal history. In the past I have been arrested for or charged with, pled guilty or
nolo contendere to, or been found to have committed a criminal offense, regardless of adjudication.
The details of my criminal history are:
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_____________________________________________
Date City/State Event (arrest, charge, plea, or adjudication)
(_____ Please indicate here if these facts are continued on an attached page.)
I _____ have _____ have not ever been required to register as a sexual predator under section
775.21, Florida Statutes.
I _____ have _____ have not ever been required to register as a sexual offender under section
943.0435, Florida Statutes.
6. I have no ulterior or illegal purpose for filing this petition, and granting it will not in any manner
invade the property rights of others, whether partnership, patent, good will, privacy, trademark, or
otherwise.
7. My civil rights have never been suspended, or, if ever suspended, they have been fully restored.
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this
petition and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.
Dated: ____
Signature of Petitioner:__________________________
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
Designated E-Mail Address(es)_____________________
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed and signed before me on by .
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary or
clerk.]
___ Personally known
__ Produced identification
Type of identification produced
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[fill in all blanks] This form was completed for the Petitioner(s).
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(c), Petition for Change of Name (Minor Child(ren))
(02/18)
MINOR CHILD # ________, continued
SUPPLEMENTAL FORM FOR PETITION FOR CHANGE OF NAME (MINOR CHILD(REN))
Case No.:
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # :
1. Minor child’s complete present name is:
.
I/We request that minor child’s name be changed to:
.
2. The minor child lives in County, Florida, at {street address}
.
3. The minor child was born on {date} , in {city, county, state, country}
______________________________________________________________________________.
4.
The minor child’s parents’ full legal name(s):
a. ______________________________________________ and
b. __________________________________________________.
c. {If applicable} The minor child’s parent’s’ maiden name(s):
and____________________________________________.
5. The minor child has lived in the following places since birth:
Dates (to/from)
/
/
/
/
/
/
Address
(____ Please indicate here if you are continuing these facts on an attached page.)
6. [Choose one only]
_____The minor child is not married.
_____The minor child is married to: {full legal name}
7. [Choose one only]
_____The minor child has no children.
.
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
_____________________________________________________________________________
______________________________________________________________________
_______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
MINOR CHILD # ________, continued
_____The minor child is the parent of the following child(ren):
Name {last, first, middle initial} Date of Birth
(______Please indicate here if you are continuing these facts on an attached page.)
8. Former names
[Indicate all that apply]
_____The minor child’s name has never been changed by a court.
_____The minor child’s name previously was changed by court order from
to on {date} ,
by {court, city, and state} .
A copy of the court order is attached.
_____The minor child’s name previously was changed by marriage from
to on {date} ,
in {city, county, and state} .
A copy of the marriage certificate is attached.
____The minor child has never been known or called by any other name.
____The minor child has been known or called by the following other name(s): {list name(s) and
explain where child was known or called by such name(s)}
9. The minor child is not employed in an occupation or profession, does not own and operate a
business, and has received no educational degrees. If the minor child has a job, explain:
.
10. Criminal History
[Indicate all that apply]
_____The minor child has never been arrested for or charged with, pled guilty or nolo contendere
to or been found to have committed a criminal offense, regardless of adjudication.
_____The minor child has a criminal history. In the past, the minor child was arrested for or
charged with, pled guilty or nolo contendere to, or been found to have committed a criminal
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
____________________________________________________________________________
____________________________________________________________________________
MINOR CHILD # ________, continued
offense, regardless of adjudication. The details of the criminal history are:
Date City/State Event (arrest, charge, plea, or adjudication)
(_____ Please indicate here if you are continuing these facts on an attached page.)
______ The minor child ______ has _____ has not ever been required to register as a sexual
predator under section 775.21, Florida Statutes.
_____ The minor child _____ has _____ has not ever been required to register as a sexual offender
under section 943.0435, Florida Statutes.
11. Money Judgments
[Choose one only]
_____ The minor child has never been adjudicated bankrupt, and no money judgment has ever
been entered against him or her.
_____ The following money judgment(s) has (have) been entered against him or her:
Date Amount Creditor Court entering judgment and case number {date} if Paid
Florida Supreme Court Approved Family Law Form 12.982(c), Petition for Change of Name (Minor Child(ren))
(02/18)
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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW (Florida)

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