Fillable Name Change (minor)-packet (Clerk of the Superior Court)

Fill Online, Printable, Fillable, Blank Name Change (minor)-packet (Clerk of the Superior Court) Form

Use Fill to complete blank online CLERK OF THE SUPERIOR COURT (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Name Change (minor)-packet (Clerk of the Superior Court)

On average this form takes 14 minutes to complete

The Name Change (minor)-packet (Clerk of the Superior Court) form is 7 pages long and contains:

  • 0 signatures
  • 79 check-boxes
  • 20 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Clerk of the Superior Court

BROWSE CLERK OF THE SUPERIOR COURT (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Revised 10.24.18
NAME CHANGE
FOR A MINOR CHILD
PINAL COUNTY
TO MAKE A
REQUEST FOR A CHANGE OF NAME
FOR A MINOR CHILD
INSTRUCTIONS AND FORMS
Provided as a Public Service by
Amanda Stanford
Clerk of the Superior Court
Page 1 of 1
CV_NCM_COSCPinal_04.09.12
Use only most current version
APPLICATION FOR CHANGE OF NAME
OF A MINOR CHILD
CHECKLIST
USE THE FORMS AND INSTRUCTIONS in this packet only if the following factors apply to your
situation:
√ You want to ask the court to change the name of a minor child,
AND
√ You are the parent or guardian of the child,
NOTE:
For information regarding name changes that can be obtained without going to court, or to add
a name to, or change a name on a birth certificate, please contact the Arizona Department of Health
Services, Bureau of Vital Records at (602) 364-1237.
READ ME:
It is very important for you to know that when you sign a court document, you
may be helping or hurting your court case. Before you sign any court document, or get involved
with a court case, it is important that you see a lawyer to make sure you are doing the right thing.
Page 1 of 3
CV_NCM_COSCPinal_07.10.17
Use only most current version
PROCEDURES
How to File For a Change of Name with This Court for a Minor Child
STEP 1: FILL OUT THE FORMS
USE BLACK INK ONLY. KEEP FORMS NEAT & CLEAN. DO NOT FOLD FORMS. DO NOT
USE LINE PAPER WHEN INCLUDING ATTACHMENTS
Fil
l out the “Application for Change of Name for a Minor Child”, “Civil Cover Sheet”
and the “Notice of Hearing Regarding Application for Change of Name” (leave date,
time and location blank).
STEP 2: MAKE COPIES
Make 2 copies of the “Application for Change of Name for a Minor Child”
STEP 3: FILE THE PAPERS AT THE COURT
WHO: Who must file the “Application for Name Change of a Minor Child”?
The Parent of Guardian of that child, or the attorney of the Parent or Guardian, must file the
papers.
GO TO THE CLERK OF COURT TO FILE YOUR PAPERS:
FEES: Please check with the Clerk’s office for the current filing fee. The fee is payable to
the Clerk of the Superior Court by cash, money order, visa or MasterCard or personal check
with proper identification. If the filing fee is a hardship and you think a fee deferral is
appropriate, ask the staff at the Customer Service Counter for an Application for Fee
Deferral before you file your Petition.
NOTE: With the Application for Deferral, you must provide proof of income (copy of your last
2 most recent paystubs)
PAPERS: Give your original application and all copies to the Clerk along with the filing fee.
Make sure the filing clerk conforms (stamps) all of your copies and returns them to
you.
Visit our website for office locations or feel free to give us a call.
Contact Information for all Offices
Toll Free: 888.431.1311 • Local: 520.509.3555 or 311 • Fax: 520.866.5320
www.coscpinalcountyaz.gov/office.html
Page 2 of 3
CV_NCM_COSCPinal_07.10.17
Use only most current version
STEP 4: SCHEDULE YOUR HEARING AT THE TIME OF FILING
Af
ter filing your application, the clerk will complete the “Notice of Hearing Regarding
Application for Change of Name” to show the date (depending on your method of
service), time, and place of your hearing. You must request copies of this form.
STEP 5: NOTIFY ANY INTERESTED PARTY
WHO:
You must notify the other parent of the minor child or both parents if you are the child’s
guardian, about your request for name change and the scheduled hearing. If the child is 14
years or older, they must sign a notarized consent to the name change request, or attend
the hearing.
HOW TO NOTIFY:
If you know where your person(s) lives, you can do one of the following:
1. IF
THE PARENT(S) AGREES WITH YOUR REQUEST – Give each parent a stamped
copy of your application and the “Notice of Hearing Regarding Application for
Change of Name” that shows the date, time, and place of your hearing. Then, have the
parent(s) complete the form entitled, “Consent of Parent to Name Change of a Minor
Child and Waiver of Notice” and have it notarized. That document serves as your
proof of notice.
Bring the signed and notarized “Consent of Parent to Name Change
of a Minor Child and Waiver of Notice” to the hearing.
2. IF THE PARENT(S) DOES NOT AGREE WITH YOUR REQUEST OR YOU ARE NOT
SURE IF HE/SHE AGREES - Give the parent(s) a stamped copy of your application and
the “Notice of Hearing Regarding Application for Change of Name” that shows the
date, time, and place of your hearing. Then, have the person sign an “Acceptance of
Service”. That notarized form serves as the proof of notice. Bring the signed and
notarized “Acceptance of Service” to the hearing; OR,
3. Sen
d a copy of your application bearing the Clerk’s stamp and the “Notice of Hearing
Regarding Application for Change of Name” showing the date, time, and place of
hearing by certified mail/restricted delivery
(return receipt requested). This must be
done at least 30 days before the hearing. Proof of notice for this step is the card
returned to you from the Post Office showing delivery. Bring the card and a completed
“Affidavit of Service by Certified Mail” to the hearing. The person who should receive
notice of the hearing must sign the return receipt.
If y
ou do NOT know where the parent(s) lives:
A Notice of Hearing that shows the date, time, and place of your hearing must be
published once in a newspaper of general circulation in Pinal County at least 14 days
before the hearing. This is called notice by publication.
If
notice is by publication, you must complete a notarized statement explaining in detail
what efforts you made to locate the person(s). Bring that statement with you to the
hearing. The Court will not accept notification by publication unless diligent efforts have
been made to locate the person for whom notification is required.
STEP 6: ATTEND THE HEARING
WHO:
The adult who is requesting a name change for the minor child MUST be present at the
hearing. In addition, if the request is for a minor child who is 14 years or older, that
child must either be present at the hearing or you may provide a notarized statement
from the child consenting to the name change.
Page 3 of 3
CV_NCM_COSCPinal_07.10.17
Use only most current version
BRING
: These documents are required for your hearing:
• 2 copies of “Order Changing Name for a Minor Child”
• Photo identification for any person(s) who requests the change of name
• Certified copy of child’s birth certificate, parent’s certified copy of birth certificate or
proof of naturalization or resident alien status (If applicable)
• A Clerk stamped copy of all filed documents
• Proof of Notice as described above in Step 5
• Notarized consent from the other parent or proof that the other parent was served
with notice of the Application and the Notice of Hearing.
• Prior Name Change orders (If applicable)
• Order terminating parental rights of the other parent (if applicable)
• Adoption Decree (if applicable)
• Proof of Guardianship (if applicable)
• If the person requesting the change of name, or the child is not a United States
citizen, his/her passport or proof of immigration status must also be provided at time
of hearing.
Al
ways make sure that you make a copy of any documents you submit to the
Court and keep those copies for your records.
AFTER THE HEARING
If the Judge grants the name change(s), the Order Changing Name will be signed and
you will be directed to the Customer Service Counter to receive a conformed copy of
the Order.
You m
ay need to purchase a certified copy of the Order to complete the change of
name with other state and local government agencies.
Please check with the Clerk’s office for the current fee for purchasing a “Certified Copy”
of the Order Changing Name. The fee is payable to the Clerk of the Superior Court by
cash, money order, visa or MasterCard.
September 26, 2018 Page 1 AOCCV10F-010119
In the Superior Court of the State of Arizona
In and For the County of _______________
Case Number _____________________________
CIVIL COVER SHEET- NEW FILING ONLY
(Please Type or Print)
Plaintiff’s Attorney __________________________
Attorney Bar Number ________________________
Plaintiff’s Name(s): (List all) Plaintiff’s Address:
______________________________________ _____________________________________________
______________________________________ _____________________________________________
______________________________________ _____________________________________________
(List additional plaintiffs on page two and/or attach a separate sheet).
Defendant’s Name(s): (List All) ______________________________________________________________________
_________________________________________________________________________________________________
(List additional defendants on page two and/or attach a separate sheet)
RULE 26.2 DISCOVERY TIER OR MONETARY RELIEF CLAIMED:
IMPORTANT: Any case category that has an asterisk (*) MUST have a dollar amount claimed or Tier
selected. State the monetary amount in controversy or place an “X” next to the discovery tier to which the
pleadings allege the case would belong under Rule 26.2.
Amount Claimed $_______________ Tier 1 Tier 2 Tier 3
NATURE OF ACTION
Place an “X” next to the one case category that most accurately describes your primary case. Any case category
that has an asterisk (*) MUST have a dollar amount claimed or Tier selected as indicated above.
TORT MOTOR VEHICLE:
Non-Death/Personal Injury*
Property Damage*
Wrongful Death*
TORT NON-MOTOR VEHICLE:
Negligence*
Product Liability – Asbestos*
Product Liability – Tobacco*
Product Liability – Toxic/Other*
Intentional Tort*
Property Damage*
Legal Malpractice*
Malpractice – Other professional*
Premises Liability*
Slander/Libel/Defamation*
Other (Specify) _______________*
MEDICAL MALPRACTICE:
Physician M.D.* Hospital*
Physician D.O.* Other*
CONTRACTS:
Account (Open or Stated)*
Promissory Note*
Foreclosure*
Reset Form
September 26, 2018 Page 2 AOCCV10F-010119
Buyer-Plaintiff*
Fraud*
Other Contract (e.g., Breach of Contract)*
Excess Proceeds – Sale*
Construction Defects (Residential/Commercial)*
Six to Nineteen Structures*
Twenty or More Structures*
Credit Card Debt (Maricopa County Filings Only)*
OTHER CIVIL CASE TYPES
:
Eminent Domain/Condemnation*
Eviction Actions (Forcible and Special Detainers)*
Change of Name
Transcript of Judgment
Foreign Judgment
Quiet Title*
Forfeiture*
Election Challenge
NCC – Employer Sanction Action (A.R.S. §23-212)
Injunction against Workplace Harassment
Injunction against Harassment
Civil Penalty
Water Rights (Not General Stream Adjudication)*
Real Property*
Special Action against Lower Courts
(See lower court appeal cover sheet in Maricopa)
Immigration Enforcement Challenge (A.R.S. §§1-501,
1-502, 11-1051)
UNCLASSIFIED CIVIL
:
Administrative Review
(See lower court appeal cover sheet in Maricopa)
Tax Appeal
(All other tax matters must be filed in the AZ Tax Court)
Declaratory Judgment
Habeas Corpus
Landlord Tenant Dispute – Other*
Declaration of Factual Innocence (A.R.S. §12-771)
Declaration of Factual Improper Party Status
Vulnerable Adult (A.R.S. §46-451)*
Tribal Judgment
Structured Settlement (A.R.S. §12-2901)
Attorney Conservatorships (State Bar)
Unauthorized Practice of Law (State Bar)
Out-of-State Deposition for Foreign Jurisdiction
Secure Attendance of Prisoner
Assurance of Discontinuance
In-State Deposition for Foreign Jurisdiction
Eminent Domain – Light Rail Only*
Interpleader – Automobile Only*
Delayed Birth Certificate (A.R.S. §36-333.03)
Employment Dispute – Discrimination*
Employment Dispute – Other*
Verified Rule 45.2 Petition
Other (Specify)* ___________________________
EMERGENCY ORDER SOUGHT:
Temporary Restraining Order Provisional Remedy OSC Election Challenge
Employer Sanction Other (Specify) __________________________________________
COMMERCIAL COURT (Maricopa County Only)
This case is eligible for the commercial court under Rule 8.1, and plaintiff requests assignment of this case to the
commercial court. More information on the commercial court, including the most recent forms, are available on the court’s
website at
https://www.superiorcourt.maricopa.gov/commercial-court/.
Additional Plaintiff(s)
_________________________________________________________________________________________
_________________________________________________________________________________________
Additional Defendant(s)
_________________________________________________________________________________________
_________________________________________________________________________________________
Page 1 of 2
CV_ANCM_COSCPinal_10.24.17
Use only most current version
ATLAS Number (if applicable)
Representing Self (No Attorney)
or Represented by Attorney
SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of:
A Minor
CASE NUMBER: S1100
CV2
APPLICATION FOR CHANGE OF NAME FOR A
MINOR CHILD [351]
HONORABLE:
STATEMENTS TO THE COURT, UNDER OATH
1. I
NFORMATION ABOUT ME, THE APPLICANT:
Name:
Address:
Date of Birth:
Place of Birth:
County of Residence:
2. INFORMATION ABOUT THE MINOR CHILD FOR WHOM THIS NAME CHANGE IS REQUESTED:
Name:
Address:
Date of Birth:
Place of Birth:
County of Residence:
Relationship to Applicant:
Requested Name:
3. REASON FOR THIS REQUEST FOR CHANGE OF NAME
I request that the current name of
be changed to
, for the following reason(s):
Page 2 of 2
CV_ANCM_COSCPinal_10.24.17
Use only most current version
4. ADDITIONAL STATEMENTS
A. This application is made solely for the best interest of the minor child named above. It will not releas
e
t
he person from any obligations incurred or harm any rights of property or action in any original name.
OATH AND VERIFICATION OF APPLICANT:
I
, the Applicant, being duly sworn and under oath, state that I have read this Application. All the statements in the
Application are true, correct, and complete to the best of my knowledge and belief.
Date
Signature
State of Arizona )
)
County of )
(Arizona County)
Subscribed and sworn (or affirmed) before me this
day
,
20
(Day)
(Month)
(Year)
by
(Name of Signer)
Seal (Affix notary seal here)
Notary Public (Notary’s Signature)
Page 1 of 2
CV_CPNCM_COSCPinal_10.24.17
Use only most current version
ATLAS Number (if applicable)
Representing Self (No Attorney)
or Represented by Attorney
SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of:
A Minor
CASE NUMBER: S1100
CV2
CONSENT OF PARENT TO NAME CHANGE OF
A MINOR CHILD AND WAIVER OF NOTICE
HONORABLE:
REQUIRED INFORMATION FROM PARENT, UNDER OATH:
1. INFORMATION ABOUT ME:
Name:
Address:
Telephone:
Date of Birth:
Place of Birth:
I am the natural MOTHER or FATHER of the minor child named above.
I am the adoptive MOTHER or FATHER of the minor child named above.
2. I
have read the Application for Name Change and consent to changing the child’s name to:
3. I waive notice of all further proceedings in this matter.
Page 2 of 2
CV_CPNCM_COSCPinal_10.24.17
Use only most current version
OATH OF THE PARENT
I have read, understood, and completed the above statements. Everything I have said is true and correct to the
best of my knowledge, information and belief.
Date
Signature
State of Arizona )
)
County of )
(Arizona County)
Subscribed and sworn (or affirmed) before me this
day
,
20
(Day)
(Month)
(Year)
by
(Name of Signer)
Seal (Affix notary seal here)
Notary Public (Notary’s Signature)
Page 1 of 2
CV_CMNC_COSCPinal_10.24.17
Use only most current version
ATLAS Number (if applicable)
Representing Self (No Attorney)
or Represented by Attorney
SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of:
A Minor
CASE NUMBER: S1100
CV2
CONSENT OF MINOR TO NAME CHANGE
(Only if Minor is 14 or Older)
HONORABLE:
REQUIRED INFORMATION FROM MINOR, UNDER OATH:
1. INFORMATION ABOUT ME:
Name:
Address:
Telephone:
Date of Birth:
Place of Birth:
I am the minor who is the subject of this name change request.
I am at least 14 years of age.
2. I
have read the Application for Name Change and consent to changing my name to:
3. I waive notice of all further proceedings in this matter.
Page 2 of 2
CV_CMNC_COSCPinal_10.24.17
Use only most current version
OATH OF THE MINOR
I have read, understood, and completed the above statements. Everything I have said is true and correct to the
best of my knowledge, information and belief.
Date
Signature
State of Arizona )
)
County of )
(Arizona County)
Subscribed and sworn (or affirmed) before me this
day
,
20
(Day)
(Month)
(Year)
by
(Name of Signer)
Seal (Affix notary seal here)
Notary Public (Notary’s Signature)
Page 1 of 1
CV_NHRANC_COSCPinal_10.24.17
Use only most current version
ATLAS Number (if applicable)
Representing Self (No Attorney)
or Represented by Attorney
SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of:
Name(s) of person(s) requesting name change
CASE NUMBER: S1100
CV2
NOTICE OF HEARING REGARDING
APPLICATION FOR CHANGE OF NAME
HONORABLE:
READ THIS NOTICE CAREFULLY. An important court proceeding that affects your rights has been
scheduled. If you do not understand this Notice or the other court papers, contact an attorney for legal advice.
1. NOTICE IS GIVEN that the Applicant has filed with the Court an Application for Change of Name. At
the hearing, the Court will consider whether to grant or deny the requested name change. If you wish t
o
be
heard on this issue, you must appear at the scheduled hearing.
2. COURT HEARING. A court hearing has been scheduled to consider the Application as outlined below:
DATED:
(Month/Day/Year)
(Applicant’s Signature)
THE COURT COMPLETES THE FOLLOWING SECTION
DATE:
TIME:
LOCATION:
Pinal County Justice Complex – 971 N Jason Lopez Circle, Bldg A – Florence AZ 85132
BEFORE THE HONORABLE:
Page 1 of 1
CV_ASCM_COSCPinal_10.24.17
Use only most current version
ATLAS Number (if applicable)
Representing Self (No Attorney)
or Represented by Attorney
SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of:
Name of Applicant
CASE NUMBER: S1100
CV2
AFFIDAVIT OF SERVICE BY
CERTIFIED MAIL
HONORABLE:
1. I
am familiar with the facts stated in this Affidavit, and I make this Affidavit to show that I have served copies
of the “Application for Change of Name” and the “Notice of Hearing Regarding Application for Change
of Name” on the person named below by certified mail/restricted delivery, return receipt requested.
Person served (name of other party):
Address where other party was served:
Date of receipt by the other party:
2. T
he Application and Notice listed above were received by the other party as shown by the receipt, the original
of which is attached to this Affidavit on a separate piece of paper.
I
swear or affirm that the information on this document is true and correct under penalty of perjury.
Date
Signature
State of Arizona )
)
County of )
(Arizona County)
Subscribed and sworn (or affirmed) before me this
day
,
20
(Day)
(Month)
(Year)
by
(Name of Signer)
Seal (Affix notary seal here)
Notary Public (Notary’s Signature)
Page 1 of 2
CV_OCNM_COSCPinal_10.24.17
Use only most current version
SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of:
A Minor
CASE NUMBER: S1100
CV2
ORDER CHANGING NAME
OF A MINOR CHILD
HONORABLE:
THE COURT FINDS:
1. This case has come before this Court to Change the Name of the minor child listed above.
2. This Court has jurisdiction to change the name of the minor child.
3. Good cause exists to grant the application for Change of Name.
4. It is in the best interest of the minor child to change his/her name as set forth below.
IT IS HEREBY ORDERED:
1.
That the legal name of the minor born this date (month / date / year):
Born in this place (city / state /nation):
Whose mother is:
(First)
(Middle)
(Last)
IS CHANGED FROM: Name on Birth Certificate
(First)
(Middle)
(Last)
TO: NEW NAME
(First)
(Middle)
(Last)
2. For the person born in the State of Arizona, the Office of Vital Records is ordered to amend the birth
record to reflect the new name as ordered above. Note that except for correction of error, a woman’s
maiden name as recorded on the birth record, is unaffected by an order for Change of Name (or by
marriage)
For the person born in a state other than Arizona, to the extent that the agency that maintains birth
records in that state is authorized to honor an order of this Court, that agency is requested or ordered to
amend its birth record to reflect the new name(s) as ordered above.
Page 2 of 2
CV_OCNM_COSCPinal_10.24.17
Use only most current version
3. T
his Order does NOT
establish paternity or add the name of a father to a birth certificate.
4. This Order does not release the persons named above from any obligations incurred or harm any rights
of property or action in any original name.
5.
Other Orders:
*
May NOT be used to establish paternity or to add the name of a father to a birth certificate.
DONE IN OPEN COURT this
day of
20
(Superior Court Judge/Special Commissioner)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Name Change (minor)-packet (Clerk of the Superior Court)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document