PETITION FOR CHANGE OF NAME (FOR MINOR ......2011/10/20 · Petition for Change of Name, (f)...

Clark County Family Law Self-Help Center Minor\Namechmi.3pam (#7) August 27, 2003 Use only the most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version

PETITION FOR CHANGE OF NAME

(FOR MINOR CHILDREN)

EXPLANATION FOR PETITION FOR CHANGE OF NAME A case for a change of name is started by filing a Petition with the Court. Certain information must be contained in the Petition. The forms that have been provided in this package include the necessary information. YOU CAN USE THIS PETITION FOR CHANGE OF NAME IF:

• You and the child(ren) have lived in Clark County, Nevada, for at least six weeks before you file the Petition, and you plan to live in Clark County, Nevada for the foreseeable future after the Petition is filed.

• You want to change the name of your child(ren). Do

not use this form if you want to change your name.

• Neither you nor the child(ren) have been convicted of a felony. Do not use this form if either you or your child(ren) have been convicted of a felony. If either of you have been convicted of a felony, you should speak with an attorney to see what steps should be taken to ask the Court to change your child(ren)’s name.

• You are not changing your child(ren)’s name(s) to

avoid creditors or to defraud someone. Note: If you are correcting a first or middle name (only) and the children were born in Nevada, you may not need to go through the court process. Please ask a Self-Help Center staff member for assistance.

©Clark County Family Law Self-Help Center minor\ namechmi.9in (#7) August 29, 2003 Use only most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.

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INSTRUCTIONS FOR PETITION FOR CHANGE OF NAME

(FOR MINOR CHILDREN)

* * * IMPORTANT DISCLOSURE * * *

THIS INFORMATION IS PROVIDED AS A COURTESY ONLY. THE SELF-HELP CENTER SHALL NOT BE LIABLE FOR ERRORS CONTAINED HEREIN OR FOR DIRECT, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES IN CONNECTION WITH THE FURNINSHING OF THIS MATERIAL.

MANY FAMILY LAW MATTERS INVOLVE COMPLEX AND VALUABLE LEGAL RIGHTS. THESE FORMS AND INSTRUCTIONS ARE BASIC, GENERAL FORMS, AND MAY NOT FIT ALL SITUATIONS. SOME RIGHTS CANNOT BE ADEQUATELY PROTECTED WITHOUT THE ASSISTANCE OF AN ATTORNEY. YOU SHOULD CONSULT WITH AN ATTORNEY BEFORE YOU ATTEMPT TO USE SELF-HELP.

* * * * *

I. EXPLANATION OF PETITION FOR CHANGE OF NAME

A. A case for a change of name is started by filing a Petition with the Court. Certain

information must be contained in the Petition. The forms that have been provided in this package include the necessary information.

B. You can use this Petition for Change of Name if:

• You and the child(ren) have lived in Clark County, Nevada, for at least six weeks before you file the Petition, and you plan to live in Clark County, Nevada, for the foreseeable future after the Petition is filed.

• You want to change the name of your child(ren). Do not use this form if you want to change your name.

• Neither you nor the child(ren) have been convicted of a felony. Do not use this form if either you or your child(ren) has been convicted of a felony. If either of you have been convicted of a felony, you should speak with an attorney to see what steps should be taken to ask the Court to change your child(ren)’s name(s).

• You are not changing your child(ren)’s name(s) to avoid creditors or to defraud someone.


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Note: If you are correcting a first or a middle name (only) and the child(ren) were born in Nevada, you may not need to go through the court process. Please ask a Self-Help Center staff member for assistance.

C. This package should contain the following documents:

• Family Court Cover Sheet

• Instructions for Petition for Change of Name (For Minor Child(ren))

• Petition for Change of Name

• Two Applications for Appointment as Guardian Ad Litem – you must choose which Application you want to use.

--One Application should be used when the child is at least 14 years old.

--The other Application should be used when the child is younger than 14 years old.

• Order Appointing Guardian Ad Litem

• Consent for Change of Name

• Notice of Petition for Change of Name

• Two Orders for Change of Name - you must choose which Order you want to use.

--One Order will not “erase” the child’s old name from the birth certificate at the Department of Vital Statistics. The Department of Vital Statistics will put your child’s new name in the birth certificate as an “aka”.


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--The other Order will tell the Department of Vital Statistics to issue a completely new birth certificate that does not have your child’s old name on it.

• Request for Summary Disposition

• Affidavit of Petitioner

• Court class information flier

• List of filing fees from the Clerks Office

• List of telephone numbers for the judges’ staffs and the Court Clerks

Note: this package is designed to change up to two children’s names. If you only want one child’s name to be changed, write “N/A” on the blanks that pertain to the second child.

II. STEP 1: PREPARE YOUR PAPERWORK

NOTE: WHEN FILLING OUT ANY FORM, YOU MUST USE BLACK INK. PRINT CLEARLY. THE CLERKS OFFICE WILL NOT FILE YOUR DOCUMENT IF THE HANDWRITING IS HARD TO READ.

A. THE FAMILY COURT COVER SHEET:

1. The Family Court Cover Sheet is a document use by the Clerks Office to create a file for your case.

2. Complete the front side of the sheet.

a. Leave the “Case No.” blank. The Clerks Office will give you a case number and department letter when you file the petition.

b. Insert the requested information into the grids. If something does not apply, write “N/A”.


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i. The last grid pertains to children that you and the Defendant have together. Do not include step children in this grid. If you and the Defendant have more than four children together, please go to the back page and complete the bottom grid.

c. Check the box next to the type of case you will be filing.

d. Print and sign your name.

e. Check either the “Yes” or “No” box on the bottom of the page. If you check “Yes,” please complete the back of the form. If you checked “No” and have less than four children together, stop.

3. Complete the back of the Family Court Cover Sheet (if necessary).

a. Check all boxes that apply and insert the requested information. If something does not apply, write “N/A”. Case numbers for previous cases can be found on the Clerks Office’s Web site: http://www.co.clark.nv.us/clerk/clerkhome.htm

i. For the middle grid, list children that are either yours or the Defendant’s, but not children that you had together. Insert the child’s relationship to the biological parent (i.e., “defendant’s son”).

ii. Use the bottom grid only if you and Defendant have more than four children together. This grid is a continuation of the bottom grid on the first page.

B. THE CAPTION:

1. The “caption” is the portion of your document, which assists the Court in identifying your particular case. It is the part of the page that says “In the Matter of the Application of _____.” Generally, this caption will remain the same throughout the entire case and will be on every document filed in


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this action. In this package, the caption in on the: (a) Petition, (b) Application for Appointment of Guardian Ad Litem, (c) Order Appointing Guardian Ad Litem, (d) Consent for Change of Name, (e) Notice of Petition for Change of Name, (f) Request for Summary Disposition, (g) Affidavit of Petitioner, and (h) Order Changing Name.

C. THE PETITION:

1. Insert your name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name.”

2. Leave the lines to the right of the caption blank. The Clerks Office will give you a case number and department number when you file the Petition. Once you get the case number from the Clerk, you will need to put it on any documents that you give to the Court (i.e., the Order that the judge will sign, etc.).

3. The Petition uses a fill-in-the-blank format. The Petition will tell you want information you need to put into the blank (i.e., your child’s current name, the name you want the child to have, etc.). If the Petition tells you to check an item, check the item that applies (i.e., check either “him” or “her” if the Petition has “him/her”).

4. The Petition must be “verified.” In other words, you will need to sign the Petition in front of a Notary Public. The Self-Help Center has a Notary available. The Petition will also have to be “acknowledged” by the Notary. The Notary will know what to do. Do not make any copies until the document has been notarized.

D. THE NOTICE:

1. Insert your name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second


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child’s name, insert that child’s current name on the blank above the words “Second child’s name.”

2. Leave the lines to the right of the caption blank. The Clerks Office will give you a case number and department number when you file your Petition.

3. The Notice also uses a fill-in-the-blank format. The Notice will tell you what information you need to put into the blank.

E. THE ORDER:

1. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name.”

2. The Order also uses a fill-in-the-blank format. The Order will tell you what information to you need to put into the blank.

3. After you have filed the Petition, fill in the case number on the line after “CASE NO.” and the department letter on the after “DEPT. NO.”

F. THE APPLICATION FOR APPOINTMENT AS GUARDIAN AD LITEM:

Note: Some departments require that a guardian as litem be appointed to represent a child when that child’s name is going to changed. After you have filed your Petition (see Section III, below), you should call the law clerk for the department that your case is assigned to and ask whether or not that department requires this procedure. There are two forms for the Application for Appointment as Guardian Ad Litem in this package. Only complete the form that applies to you situation. ONLY COMPLETE ONE OF THESE FORMS IF THE DEPARTMENT THAT YOUR CASE IS ASSIGNED TO REQUIRES THE APPOINTMENT OF A GUARDIAN AD LITEM. (PLEASE SEE SECTION IV, BELOW.)

1. Insert your name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank


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line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name.

2. Insert the case number on the line after “CASE NO.” and the department letter on the line after “DEPT. NO.”

3. The Application for Appointment of Guardian Ad Litem uses a fill-in-the-blank format. The Application will tell you what information you need to put into the blank. The children must sign the Application before a Notary, if they are at least 14 years old. The Notary will require identification that contains both a picture and that person’s signature. For a child, school identification cards are acceptable if the child’s signature is on that card.

G. THE ORDER APPOINTING GUARDIAN AD LITEM:

ONLY COMPLETE THIS FORM IF THE DEPARTMENT THAT YOUR CASE IS ASSIGNED TO REQUIRES THE APPOINTMENT OF A GUARDIAN AD LITEM. (PLEASE SEE “F”, ABOVE.)

1. Insert your name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name. If you are not changing a second child’s name, write “N/A” on the blank.


3. The Order Appointing Guardian Ad Litem uses a fill-in-the-blank format. The Order will tell you what information you need to put into the blank.


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H. THE CONSENT TO NAME CHANGE:

Note: Some departments require that the parent who is not the petitioner sign a consent form. After you have filed your Petition (see Section III, below), you should call the law clerk for the department that your case is assigned to and ask whether or not that department requires a consent. If the department requires a consent and you cannot obtain that consent, you will need to ask the judge’s law clerk what steps you need to take. Lists of telephone numbers for the judges’ staffs are included in this package. ONLY COMPLETE ONE OF THESE FORMS IF THE DEPARTMENT THAT YOUR CASE IS ASSIGNED TO REQUIRES THE OTHER PARENT GIVE CONSENT TO THE CHILD(REN)’S NAME CHANGE AND THAT PARENT IS WILLING TO SIGN THE CONSENT FORM. THAT PARENT WILL NEED TO SIGN THE FORM IN FRONT OF A NOTARY AND IN FRONT OF TWO WITNESSES.

1. Insert your name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name.


3. The Consent uses a fill-in-the-blank format. The Consent will tell you what information goes into the blank.

4. The parent who is not the Petitioner will fill in the blanks under the title “Consent to Name Change” through the signature line on page 2. The parent signing the consent form must sign it before a notary and before two witnesses.

5. The witnesses will sign their names under the word “attest” on the second page. They will also print the information requested in the paragraphs under the words “State of Nevada/County of Clark.” The witnesses will sign their name and print their names underneath the signatures. The witnesses must sign the consent form before a notary and before the parent who signed the consent form.


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I. THE REQUEST FOR SUMMARY DISPOSITION:

NOTE: THERE ARE TWO WAYS TO ASK THE COURT TO REVIEW YOUR PAPERWORK: 1) “PROVE UP” HEARING; AND 2) “SUMMARY DISPOSITION”. ONLY COMPLETE THIS FORM IF YOU ARE GOING TO ASK THE COURT TO REVIEW YOUR PAPERWORK BY SUMMARY DISPOSITION. YOU SHOULD COMPLETE THIS FORM AFTER YOU HAVE FILED THE PETITION. (PLEASE SEE SECTION VI., BELOW.)

NOTE: SOME DEPARTMENTS DO NOT USE THE SUMMARY DISPOSITION METHOD FOR NAME CHANGES. YOU CAN CALL THE LAW CLARK FOR THE DEPARTMENT THAT YOUR CASE IS ASSIGNED TO AND ASK FOR THAT DEPARTMENT’S POLICY.

1. Insert your current name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name.


3. The Request for Summary Disposition uses a fill-in-the-blank format. The form will tell you what information you need to put into the blank.

J. THE AFFIDAVIT OF PETITIONER:

NOTE: ONLY COMPLETE THIS FORM IF YOU ARE GOING TO ASK THE COURT TO REVIEW YOUR ORDER BY SUMMARY DISPOSITION.

1. Insert your current name, address, and phone number on the first page, upper left-hand corner. Insert your current name on the blank line over the words “Your name” in the caption. Insert your child’s current name on the blank line over the words “First child’s name.” If you are changing a second child’s name, insert that child’s current name on the blank above the words “Second child’s name.


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3. The Affidavit of Petitioner uses a fill-in-the-blank format. The form will tell you what information you need to put into the blank. Do not make any copies until the document is notarized.

III. STEP 2: FILE THE PETITION FOR CHANGE OF NAME AND THE NOTICE OF PETITION FOR CHANGE OF NAME

A. Make three copies of the Petition and Notice of Petition.

B. You need to use a two-hole punch on the top of each original document and also stamp or write “original” on each original document in between the two holes. The Self-Help Center has a two-hole punch and a stamp that you can use.

C. Take the completed Petition, the Notice of Petition, and money to pay the filing fee with you to the Clerks Office (located on the first floor of the courthouse). The list of filing fees for the Clerks Office is included in this package or you can call the Clerks Office at 455-2590. The Clerks Office will take cash, money orders, cashier’s checks, and personal checks if you have a valid Nevada Driver’s License.

D. Go to the filing counter at the Clerks Office. The Clerk will file the original Petition and the original Notice of Petition. He/she will stamp your copies and return them to you. These are called “file-stamped” copies. The Clerk will also assign your case to a judge (also know as a “department”) and give your case a “case number.”

IV. STEP 3: ASK THE COURT TO APPOINT YOU AS YOUR CHILD(REN)’S GUARDIAN AD LITEM (IF NECESSARY) AND FILE THE CONSENT (IF NECESSARY)

NOTE: NOT ALL DEPARTMENTS REQUIRE AN APPOINTMENT OF A GUARDIAN AD LITEM OR A CONSENT FROM THE NON-PETITIONING PARENT. YOU SHOULD CALL THE LAW CLERK FOR THE DEPARTMENT YOUR CASE HAS BEEN ASSIGNED TO AND ASK IF A GUARDIAN AD LITEM AND/OR A CONSENT IS NEEDED. IF NEITHER FORM IS NEEDED, GO TO SECTION V, BELOW.


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A. For an Application for Appointment of Guardian Ad Litem, you will need to do the following:

1. Complete the paperwork. (Please see Section II, F, above.)

2. Make three copies of the Application for Appointment as Guardian Ad Litem and three copies of the Order Appointing Guardian Ad Litem.

3. You need to use a two-hole punch on the top of each original document and also stamp or write “original” on each original document in between the two holes. The Self-Help Center has a two-hole punch and a stamp that you can use.

4. Take the completed Application for Appointment as Guardian Ad Litem and Order Appointing Guardian Ad Litem to the filing counter at the Clerks Office. The Clerk will file the original Application for Appointment as Guardian Ad Litem and will return the file-stamped copies to you.

5. Go somewhere where you can put your documents together. You will need to make a package for the judge’s office to review. That package needs to have the following documents:

• One file-stamped copy of the Petition for Change of Name

• One file-stamped copy of the Notice of Petition for Change of Name

• One file-stamped copy of the Application for Appointment as Guardian Ad Litem

• The original Order Appointment Guardian Ad Litem and at least three copies of the Order


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6. Next, take the elevator to the third floor of the courthouse. Go to the reception area by “chambers.” You will see brown boxes against the wall. Each box is marked with a department letter. Put the judge’s package into the box belonging to that department.

7. The judge’s staff will review your paperwork. If it is approved, the judge will sign the Order appointing you as the Guardian Ad Litem. If you need to make corrections, the staff will put a note on your papers to tell you how to correct your papers. It usually takes between one-to-two weeks from the time that you give your papers to the department until the staff has reviewed them.

8. The Court does not mail paperwork back to you. After one week, you can call the Clerk’s Office at 455-2590 or go to the Clerks Office filing counter to see if your paperwork is ready to be picked up. Tell the Clerk that you are in “Proper Person” so he/she knows where to look for your paperwork. If the paperwork is not in the Clerk’s Office after two weeks, you may call the judge’s office to make sure that they have received your paperwork. A listing of telephone numbers for the judge’s staffs is included with this package.

9. If the judge signed the Order, the Clerk’s Office will automatically file it for you. If your paperwork needs correction, you will need to follow the instructions from the judge’s office and go through step 5 through 8 again after you have made the correction.

B. If you need the other parent to sign a Consent, you will need to do the following:

1. Complete the paperwork. (Please see Section II, H, above.)

2. Make three copies of the Consent.

3. Take the original Consent and the copies to the filing counter at the Clerks Office. The Clerk will file the original Consent and return the file-stamped copies to you.


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V. STEP 4: PUBLISH THE NOTICE OF PETITION

A. You must publish the Notice of Petition in a newspaper of general circulation in Clark County one time per week for three weeks in a row. You may use any newspaper of general circulation, but most people use Nevada Legal News, the Review-Journal, of the Sun. You will need to call the papers to ask about their procedures and the cost. The telephone number for Nevada Legal News is 382-2747 and the telephone number for both the Review-Journal and the Sun is 383-0383.

NOTE: IF YOU BELIEVE THAT THE PUBLICATION OF THE NOTICE OF PETITION WILL PUT YOUR SAFETY AT RISK, YOU MAY ASK THE COURT TO ALLOW YOU TO PROCEED WITHOUT THE PUBLICATION. PLEASE ASK A SELF-HELP CENTER REPRESENTATIVE FOR ASSISTANCE.

VI. STEP 5: THE COURT’S REVIEW OF THE PETITION

A. There are two way to ask the judge to review you Petition:


• “Prove-Up” Hearing

For either way, you must wait at least 11 days after the last day your Notice was published before you can ask the judge to review your Petition.

B. REQUEST FOR SUMMARY DISPOSITION:

NOTE: SOME DEPARTMENTS DO NOT ALLOW A PETITION FOR CHANGE OF NAME TO BE REVIEWED BY THE SUMMARY DISPOSITION PROCESS. YOU SHOULD CALL THE LAW CLERK OF THE DEPARTMENT YOUR CASE IS ASSIGNED TO AND ASK WHETHER THAT DEPARTMENT ALLOWS SUMMARY DISPOSITIONS FOR NAME CHANGES.

1. You will need to complete the following documents and make at least two copies of each document:


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• Affidavit of Petitioner

2. You need to use a two-hole punch on the top of each original document and also stamp or write “original” on each original document in between the two holes. The Self-Help Center has a two-hole punch and a stamp that you can use.

3. Take the completed Request for Summary Disposition and Affidavit of Petitioner to the Clerks Office. You should also bring copies of your other documents with you because you will make a package for the judge’s staff to review while you are at the courthouse (see No. 5 below).

4. Go to the filing counter at the Clerks Office. The Clerk will file the original Request for Summary Disposition and the original Affidavit of Petitioner. He/she will return the file stamped copies to you.

5. Go somewhere where you can put your documents together. You will need to make a package for the judge’s office to review. That package needs to have the following documents:

• One file-stamped copy of the Petition for Change of Name

• One file-stamped copy of the Notice of Petition for Change of Name

• One file-stamped Order Appointing Guardian Ad Litem (if required)

• One file-stamped Consent to Change of Name (if required)

• One file-stamped copy of the Affidavit of Publication (Unless requirement is waived by the Court. In that case, include the Order waiving publication.)


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• One file-stamped copy of the Affidavit of Petitioner

• The original Order Changing Name and at least three copies of the Order

6. Next, take the elevator to the third floor of the courthouse. Go to the reception area by “chambers.” You will see brown boxes against the wall. Each box is marked with a department letter. Put the judge’s package into the box belonging to that department.

7. The judge’s staff will review your paperwork. If it is approved, the judge will sign the Order. If you need to make some corrections, the staff will put a note on your papers to tell you how to correct them. It usually takes between one-to-two weeks from the time that you give your papers to the department until the staff has reviewed them.

8. The Court does not mail paperwork back to you. After one week, you can call the Clerks Office at 455-2590 or go the Clerks Office filing counter to see if your paperwork is ready to be picked up. Tell the Clerk that you are in “Proper Person” so he/she knows where to look for your paperwork. If the paperwork is not in the Clerk’s Office after two weeks, you may call the judge’s office to make sure that they have received your paperwork.

9. If the judge signed your Order, the Clerks Office will automatically file the Order for you. If your paperwork needs correction, you will need to follow the instructions from the judge’s office and go through steps 5 through 8 again after you have completed and filed the corrected document.

10. When you receive your Order from the Clerks Office, you should ask the Clerk to make at least one certified copy of the Order. It is faster and cheaper to get certified copies at the time that you pick up your Order than if you have to order them later. There is a $3.00 fee per certified copy if you have copies of the Order with you. If the Clerks Office makes the copies, there is an additional charge of $1.00 per page.


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11. If your child was born in Nevada, mail a certified copy of the Order along with a cover letter and a personal check or money order for $20.00 to:

Department of Vital Statistics

505 E. King St., Room 102

Carson City, NV 89701-4749

The letter needs to have your child’s name, mailing address, and the city where he/she was born. The department will mail one certified copy of your child’s new birth certificate to you at the address you put in your cover letter. If you want more than one copy, send an additional $11.00 for each additional birth certificate.

Note: If your child was not born in Nevada, you should call the Department of Vital Statistics in the state he/she was born to ask what needs to be done to change the birth certificate. The Self-Help Center has a list of telephone numbers for these departments.

C. THE PROVE-UP HEARING:

1. A “Prove-Up” hearing is a short hearing before the judge when a case is ready for the judge to sign the Order.

The advantages to a “Prove-Up” are:

• You do not have to do any extra paperwork (a Request for Summary Disposition, an Affidavit of Petitioner, etc.);

• The judge will usually sign the Order while you wait;

• If you have your hearing between 8:00 a.m. and 5:00 p.m., you can take your Order to the Clerks Office after the hearing. The Clerk will file it and make certified copies for you while you wait.

The disadvantages to a “Prove-Up” are:


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• You have to come to Court for a hearing;

• If your hearing is after 5:00 p.m., either you or a friend will need to bring your Order to the Clerks Office during business hours so that it can be filed and you can receive certified copies of the Order

2. If you decide to do a “Prove-Up” hearing, you will need to do the following before the hearing:

• Make sure the Affidavit of Publication or the order waiving the publication has been filed.

• Schedule the hearing. Go to the Clerks Office. Go to the “Master Calendar” window. Ask the Clerk for a “Setting Slip.” The days that are available for the hearing depend on which judge your case has been assigned to. Please ask the Clerk which days and times are available.

• Call the law clerk for the department your case has been assigned to and ask whether or not you child(ren) need to be at the hearing.

3. On the day of the hearing, you will need to:

• Be on time. “Prove-Up hearings go very fast. If you are late, you may miss you hearing.

• Dress as if you were going to a job interview.

• Bring the following to the hearing:

Your Order for Change of Name

You (and your child(ren), if required by the judge)


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Extra copies of your documents (in case there is not enough time for the original documents to be placed into the Court’s file by the Clerks Office).

Extra money for certified copies of your Order, if you want certified copies. If is faster and cheaper to get certified copies at the time that you file the Order than if you have to order them later. The fee is $3.00 per certified copy if you have copies of the Order with you. If the Clerks Office makes the copies, there is an additional charge of $1.00 per page.

4. After your hearing, you will need to:

• Take your original Order and the copies of the Order to the filing counter at the Clerk’s Office and file your Order.

• If your child was born in Nevada, mail a certified copy of the Order, a personal check or money order for $20.00, and a cover letter to:

Office of Vital Statistics

4150 Technology Way, Suite 104

Carson City, NV 89706

The letters need to have your name, mailing address, and the date and city where your child was born. The department will mail one certified copy of your child’s new birth certificate to you at the address you put in your cover letter. If you want more than one copy, send an additional $13.00 for each additional birth certificate. For additional questions you can contact the Office at (775) 684-4242.

-- Note: If your child was not born in Nevada, you should call the Department of Vital Statistics in the state your child was born to ask what needs to be done to change the birth certificate. The Self-Help Center has a list of telephone numbers for these departments.

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28© Clark County Family Law Self-Help Center NAMECHMI.4PE (#7)November 8, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.1

PCON (Your name)

(Address) ____________________________

(Telephone) In Proper Person

DISTRICT COURT

CLARK COUNTY, NEVADA

In the Matter of the ) CASE NO.: _______________Application of: )

) DEPT. NO.: ______________________________________________ )

))

for Change of Name of the Minor Children ))

______________________________ )(First child’s name) )

) and )

)_____________________________ )

(Second child’s name) )______________________________)

PETITION FOR CHANGE OF NAMEFOR MINOR CHILDREN

COMES NOW, Petitioner _________________________________ for [ ] his/ [ ] her petition

to change the name(s) of [ ] his/ [ ] her minor child(ren), respectfully shows:

1. That [ ] he/ [ ] she is the natural [ ] mother/ [ ] father of

_____________________________________, born on __________________, in (city and

state)_________________________________; and ____________________________________, born

on ___________________ in (city and state)________________________________.

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2. That Petitioner ____________________________________ has resided in Clark County,

Nevada since ____________________ and intends to make Clark County [ ] his/ [ ] her home for at

least an indefinite period of time. ________________________________ has resided in Clark County,

Nevada since _________________________. ____________________________________ has resided

in Clark County, Nevada since _____________________.

3. That, if necessary, Petitioner _____________________________________ will submit

paperwork to this Court requesting that [ ] he/ [ ] she be appointed as the child(ren)’s Guardian Ad

Litem.

4. That Petitioner would like to change _______________________________________’s

name to _________________________________________________.

5. That Petitioner would like to change _____________________________________’s

name to _________________________________________________.

6. That Petitioner wishes to change the child(ren)’s name(s) because___________________

________________________________________________________________________________

_________________________________________________________________________________.

7. That neither Petitioner nor the child(ren) have been convicted of a felony.

8. That Petitioner is not changing the child(ren)’s name(s) in order to defraud creditors or

for some other fraudulent reason.

WHEREFORE, Petitioner prays for the following:

1. T h a t t h e ab ove-en t i t l ed C o u r t en t e r i t s O r d e r ch an g i n g

__________________________________’s name to_____________________________________.

2. That the above-entitled Court enter its Order changing _________________________’s

name to ___________________________________________________.

3. That the above-entitled Court enter an order for such other and further relief as the Court

shall deem just and proper.

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28© Clark County Family Law Self-Help Center NAMECHMI.4PE (#7)

November 8, 2002 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.3

Respectfully Submitted:

(Your signature)

__________________________________

__________________________________

__________________________________

In Proper Person

VERIFICATION

STATE OF NEVADA )) ss:

COUNTY OF CLARK )

__________________________________ , under penalties of perjury, being first duly

sworn, deposes and says:

That I am the Petitioner in the above-entitled action; that I have read the foregoing Petition

for Change of Name and know the contents thereof; that the same is true of my own knowledge,

except for those matters therein contained stated upon information and belief, and as to those

matters, I believe them to be true.

DATED this _____ day of ________________, _________.

By:

(Your signature)__________________________________

SUBSCRIBED and SWORN to beforeme this ______ day of (month)___________, (year)______.

__________________________NOTARY PUBLIC

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ACKNOWLEDGMENT

STATE OF NEVADA ))ss:

COUNTY OF CLARK )

On this _______ day of ____________, ________, before me, the undersigned Notary Public

in and for the said County and State, personally appeared _________________________________,

known to me to be the person described in and who executed the foregoing Petition for Change of

Name, and who acknowledged to me that [ ] he/ [ ] she did so freely and voluntarily and for the

uses and purposes therein mentioned.

WITNESS my hand and official seal.

___________________________________NOTARY PUBLIC

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28© Clark County Family Law Self-Help Center Namechmi.3no (#7)January 2, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.1

NOTC(Your name) (Address)

(Telephone)

In Proper Person

DISTRICT COURT


DISTRICT COURT



) DEPT. NO.: ______________________________________________ )

(Your name) ))



) and )

)_____________________________ )


NOTICE OF PETITION FOR CHANGE OF NAME

NOTICE IS HEREBY GIVEN that Petitioner, the natural (check one) [ ] mother/

[ ] father of ________________________________________________ filed a petition on the

_______ day of (month) _____________, (year) ______ addressed to the above-entitled Court

praying that said Court enter its Order changing the child(ren)’s legal name(s) from

__________________________ to _________________________ and from ___________________

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28© Clark County Family Law Self-Help Center Namechmi.3no (#7)January 2, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.2

to____________________________.

NOTICE IS FURTHER GIVEN that any person objecting to the changing of the minor

child(ren)’s name(s) as noted above shall file written objection with the above-entitled Court within

ten(10) days after the date of the last publication of this Notice.

DATED this (day) ______ day of (month) _______________, (year) _______.

By:

(Your signature) ___________________________________

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28© Clark County Family Law Self-Help Center Namechmi.3af (#7)January 2, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.1

AFPT

In Proper Person

DISTRICT COURT



) DEPT. NO.: ______________________________________________ )

))



) and )

)_____________________________ )


AFFIDAVIT OF PETITIONER

STATE OF NEVADA )) ss:

COUNTY OF CLARK )

1. I, _______________________________, Petitioner, do solemnly swear to testify

herein to the truth, the whole truth and nothing but the truth.

2. That I am the Petitioner in the above-entitled case.

3. That I live at _________________________________________________________,

________________________, Nevada, (zip code) _____________.

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28© Clark County Family Law Self-Help Center Namechmi.3af (#7)January 2, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.2

4. That I first moved to Clark County, Nevada on _________________________. It is

my intention to live in Clark County for the foreseeable future. The children in this case are also

residents of Clark County, Nevada.

5. That I have read the Petition for Change of Name in this case and can testify that the

allegations in the Petition are true and correct to the best of my knowledge.

6. That I request that the Court change my child’s name from _____________________

to ________________________________________.

7. That I request that the Court change my child’s name from

______________________________________ to ______________________________________.

9. That neither I nor the children in this case have been convicted of a felony.

10. That I am not changing my children’s names to avoid creditors or to commit a fraud.

Dated this _____ day of ____________, _____.

(Your signature)

SUBSCRIBED and SWORN to beforeme this ______ day of ________________, ______.

____________________________NOTARY PUBLIC

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28© Clark County Family Law Self-Help Center Namechmi.3re (#7)January 2, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.1

RSDN (Your name) (Address) ___________________________

(Telephone)

In Proper Person

DISTRICT COURT



) DEPT. NO.: ______________________________________________ )

(Your name) ))



) and )

)_____________________________ )


REQUEST FOR SUMMARY DISPOSITION OFCHANGE OF NAME

COMES NOW, Petitioner ___________________________ and request(s) this Court for a

summary disposition for change of name(s) without a hearing.

Respectfully Submitted:(Your signature) ________________________________

________________________________ ________________________________

________________________________Petitioner in Proper Person

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28© The Clark County Family Law Self-Help Center Namechmi.4or (#7)October 10, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.1

ORDR(Your name)

(Address) ___________________________

(Telephone) In Proper Person

DISTRICT COURT



) DEPT. NO.: ______________________________________________ )

))



) and )

)_____________________________ )


ORDER FOR CHANGE OF NAME This matter having come on for [ ] hearing/ [ ] summary disposition in the Family Division

of the Eighth Judicial District Court, County of Clark, and the Court being fully advised in the premises,

both as to the subject matter as well as the party thereto, and that jurisdiction is proper in Nevada, and

good cause appearing therefore;

IT IS HEREBY ORDERED, ADJUDGED AND DECREED that

_______________________________________, born on __________________________, in (city and

state)_________________________, name be changed to __________________________________.

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28© The Clark County Family Law Self-Help Center Namechmi.4or (#7)October 10, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.2

IT IS FURTHER ORDERED, ADJUDGED AND DECREED that

________________________________________, born _____________________, in (city and

state)__________________, name be changed to ________________________________________.

IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the Department of Vital

Statistics shall issue new birth certificate(s) for the minor child(ren) with the name(s) of (new names)

________________________________________________________________________________.

DATED this ____ day of __________________, ____________.

________________________________ DISTRICT COURT JUDGE

Respectfully submitted:

(Your signature) _________________________________

_________________________________

_________________________________

_________________________________

_________________________________ Petitioner In Proper Person

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28© Clark County Family Law Self-Help Center Namechmi.4ak (#7)October 10, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.1

OCON

__________________________

In Proper Person

DISTRICT COURT



) DEPT. NO.: ______________________________________________ )

))


______________________________ ))

) and )

)_____________________________ )

)______________________________)

ORDER FOR CHANGE OF NAME

This matter having come on for [ ] hearing/ [ ] summary disposition in the Family

Division of the Eighth Judicial District Court, County of Clark; and the Court being fully advised in

the premises, both as to subject matter as well as the party thereto, and that jurisdiction is proper in

Nevada, and good cause appearing therefore;

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28© Clark County Family Law Self-Help Center Namechmi.4ak (#7)October 10, 2001 Use only most current versionALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.2

IT IS HEREBY ORDERED, ADJUDGED AND DECREED that ___________________,

born on ________________________, in __________________________, name be changed to

_______________________________________.

IT IS FURTHER ORDERED, ADJUDGED AND DECREED that __________________,

born on _______________________________, in ________________________, name be changed to

_______________________________________.

DATED this ____ day of __________, _______.

____________________________________ DISTRICT COURT JUDGE

Respectfully submitted:

(Your signature) _________________________________ _________________________________ _________________________________ _________________________________ _________________________________

Petitioner In Proper Person

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USJR Cover Sheet 04/03/07

EIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA

FAMILY COURT COVER SHEET

CASE NO. (To be assigned by the Clerk’s Office)

Do you or any other party in this case (including any minor child) have any other current case(s) or past case(s) in the Family Court or Juvenile Court in Clark County?

YES NO If yes, complete the other side of this form

PARTY INFORMATION (Please Print)

Plaintiff/Petitioner Defendant/Respondent/Co-Petitioner Last Name: Last Name:

First Name: Middle Name: First Name: Middle Name:

Home Address: Home Address:

City, State, Zip: City, State, Zip:

Mailing Address: Mailing Address:


Phone #: Date of Birth: Phone #: Date of Birth:

Attorney Information Attorney Information Name: Bar No. Name: Bar No:

Address: Address:


Phone #: Phone #:

(Check one box only for the type of case being filed with this cover sheet)

DOMESTIC MISC. DOMESTIC RELATIONS PETITIONS GUARDIANSHIP

Marriage Dissolution

Annulment Divorce –No minor child(ren) Divorce –With minor child(ren) Foreign Decree Joint Petition –No minor child(ren) Joint Petition – With minor child(ren) Separate Maintenance

Adoption –Minor Adoption –Adult Mental Health Name Change Paternity Permission to Marry Temporary Protective Order (TPO) Termination of Parental Rights Child Support/Custody Other (identify) __________________

MISC. JUVENILE PETITIONS DA CHILD SUPPORT PETITIONS

Emancipation DA – UIFSA DA - Child Support In State

Guardianship of an Adult Person Estate Person and Estate

Guardianship of a Minor

Person Estate Person and Estate

Guardianship Trust

List children involved in this case (If more than 3 children, please enter the information on the reverse side)

Last Name First Name Middle Name Date of Birth Relationship

1.

2.

3.

_________________________________ __________________________________ ________________ Printed Name of Preparer Signature of Preparer Date

USJR COVER SHEET 05/25/01

Supply the following information about any other proceeding (check all that apply):

Divorce Temporary Protective Orders (TPO) Custody/Child Support

UIFSA/URESA Paternity Juvenile Court Other

Please Print

List full name of all adult parties involved

Last Name First Name Middle Name

Case number of other

proceeding(s)

Approximate date of last order in

other proceeding(s)

1. 2. 3. 4.

If children were involved (other than those listed on front page), please provide:


1.

2.

3.

4.

5.

6.

7.

8.

Children involved in this case (continuation from front page)


4.

5.

6.

7.

8.

THIS INFORMATION IS REQUIRED BY NRS 3.025, NRS 3.223, NRS 3.227, NRS 3.275,

NRS 125.130, NRS 125.230, And will be kept in a confidential manner by the Clerk’s Office.

New Policy at the Clerk’s Office

bring a blank 10X13 envelope when you file your documents. The clerk will mail your documents to you after they are reviewed by the judge. The clerk’s office

will pay the postage.

Clark County Family Law Self-Help Center minor\namechmi.4co (#7) August 28, 2003 Use only most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.

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CONS

(Your name) ___________________________

(Address) ___________________________

___________________________

(Telephone) ___________________________ In Proper Person

DISTRICT COURT


In the Matter of the ) Application of: ) CASE NO: ________________________ ) ___________________________________ ) DEPT. NO. ________________________

(Your name) ) ) for Change of Name of the Minor Children ) ) ___________________________________ ) (First child’s name) ) ) and ) ___________________________________ ) (Second child’s name) ) ) ___________________________________ )

CONSENT TO NAME CHANGE

I, (consenting parent’s name) _________________________________, the (check one)

mother/ father of the above-referenced minor child(ren), do hereby give my full and free

consent to change (first child’s name) ______________________________________’s name to

__________________________________________. I also give my full and free consent to

change (second child’s name or “N/A”)_________________________________’s name to


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__________________________________________. I request the relief requested in the Petition

for Change of Name on file be granted.

DATED this _______ day of (month) _______________, (year) __________.

_____________________________________ (Consenting parent’s signature) SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC ATTEST: ________________________________ (First witness’ signature) _________________________________ (Second witness’ signature)

STATE OF NEVADA ) ) ss: COUNTY OF Clark County ) The undersigned (first witness’ name) ________________________________ and

(second witness’ name) ____________________________, being duly sworn, under oath,

depose and say that:

We saw (name of consenting parent) ______________________________ sign the

attached Consent to Name Change; at the time the Consent to Name Change was signed by

(check one) him/ her, it contained the proposed new name(s) for the minor child(ren); we

thereafter subscribed the same as witnesses in the presence of (consenting parent’s name)


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_______________________________ and in the presence of each other; at the time that

(consenting parent’s name) ____________________________ signed the Consent to Name

Change (check one) he/ she acknowledged to us that (check one) he/ she was, and

appeared to us to be, in full possession of (check one) his/ her faculties and not under the

influence of any drug, or subject to any duress, fear, menace, compulsion or undue influence

whatsoever; and we make this affidavit at (check one) his/ her request.

(First witness’ signature) ______________________________

(First witness’ name) ______________________________

(Second witness’ signature) ______________________________

(Second witness’ name) ______________________________

SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC

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Clark County Family Law Self-Help Center minor\namechmi.514 (#7) August 28, 2003 Use only most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.

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GAL (Your name) ___________________________ (Address) ___________________________ ___________________________ (Telephone) ___________________________ In Proper Person

DISTRICT COURT




APPLICATION FOR APPOINTMENT AS GUARDIAN AD LITEM

COMES NOW, Applicants, (your name) _________________________________, (first

child’s name) ___________________________________ and (second child’s name – if no

second child, write “N/A”) ____________________________________, pursuant to NRS

12.050, for their motion to have (your name) _________________________________________

be appointed as Guardian Ad Litem, respectfully show:

1. That Applicant (first child’s name) ___________________________________

is ___________ years old and was born on (date) _________________.

2. That Applicant (second child’s name or “N/A”) ___________________________

_____________________ is ____________ years old and was born on (date) _______________.


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3. That (your name) _______________________________ is the (check one)

father/ mother of the above-named child(ren), is a competent person, a resident of Clark

County, Nevada, at least 18 years old, and is willing to act as Guardian Ad Litem to appear and

prosecute said action for the name change on behalf of the minor applicants.

4. That no general guardian, conservator, or other fiduciary has ever been appointed

on behalf of the child(ren) and the child(ren) is/are not ward(s) of any court.

WHEREFORE, Applicants pray to have (your name) ____________________________

be appointed as the Guardian Ad Litem for (first child’s name) __________________________

__________________ and (second child’s name or “N/A”) _____________________________

____________________________ to appear and prosecute an action for a change of name on

their behalf and to act for them for the purpose of this action.

DATED this ______ day of (month) ____________________, (year) ____________.

Respectfully submitted: (Your signature) _____________________________ (Your name) _____________________________ (Address) _____________________________ _____________________________ (Telephone) _____________________________ In Proper Person (First child’s signature) _____________________________ (First child’s name) _____________________________ (Address) _____________________________

_____________________________ (Telephone) _____________________________ In Proper Person Second child’s signature) _____________________________ (Second child’s name) _____________________________ (Address) _____________________________ _____________________________ (Telephone) _____________________________ In Proper Person


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VERIFICATION

STATE OF NEVADA ) ) ss: COUNTY OF Clark County) (Your name) _________________________________, under penalties of perjury, being

first duly sworn, deposes and says:

That I am the Petitioner in the above-entitled action; that I have read the foregoing

Application for Appointment as Guardian Ad Litem and know the contents thereof; that the same

is true of my own knowledge, except for those matters therein contained stated upon information

and belief, and as to those matters I believe them to be true.

DATED this ______ day of (month) ______________, (year) ____________.

By:

(Your signature) ________________________ (Your name) ________________________ SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC

ACKNOWLEDGMENT

STATE OF NEVADA ) ) ss: COUNTY OF CLARK )

On this _____ day of (month) _____________, ___________, before me, the

undersigned Notary Public in and for the said County and State, personally appeared (your

name) _____________________________, known to me to be the person described in and who

executed the foregoing Application for Appointment as Guardian Ad Litem, and who


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acknowledged to me that (check one) he/ she did so freely and voluntarily and for the uses

and purposes therein mentioned.


__________________________________ NOTARY PUBLIC

VERIFICATION

STATE OF NEVADA ) ) ss: COUNTY OF Clark County)

(First child’s name) _________________________________, under penalties of perjury,

being first duly sworn, deposes and says:

That I am the Applicant in the above-entitled action; that I have read the foregoing





By: (First child’s signature) ________________________ (First child’s name) ________________________ SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC


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ACKNOWLEDGMENT



undersigned Notary Public in and for the said County and State, personally appeared (first

child’s name) _____________________________, known to me to be the person described in

and who executed the foregoing Application for Appointment as Guardian Ad Litem, and who




__________________________________ NOTARY PUBLIC

VERIFICATION

STATE OF NEVADA ) ) ss: COUNTY OF Clark County)

(Second child’s name) _________________________________, under penalties of

perjury, being first duly sworn, deposes and says:

That I am the Applicant in the above-entitled action; that I have read the foregoing



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By:

(Second child’s signature) ________________________ (Second child’s name) ________________________ SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC

ACKNOWLEDGMENT



undersigned Notary Public in and for the said County and State, personally appeared (second

child’s name) _____________________________, known to me to be the person described in

and who executed the foregoing Application for Appointment as Guardian Ad Litem, and who




__________________________________ NOTARY PUBLIC

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Clark County Family Law Self-Help Center minor\namechmi.4gu (#7) August 28, 2003 Use only most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.

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GAL (Your name) ___________________________ (Address) ___________________________ ___________________________ (Telephone) ___________________________ In Proper Person

DISTRICT COURT




APPLICATION FOR APPOINTMENT AS GUARDIAN AD LITEM

COMES NOW, Petitioner, (your name) _______________________________, (check

one) Q mother/ Q father of (child(ren)’s current name(s)) __________________________

_________________________________________________, pursuant to NRS 12.050, for

(check one) Q his/ Q her motion to be appointed as Guardian Ad Litem for the child(ren),

respectfully shows:

1. That Petitioner is asking to be appointed Guardian Ad Litem for (first child’s

current name) _____________________________________, a minor, age __________, born on

(date) _________________.


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2. That Petitioner is also asking to be appointed Guardian Ad Litem for (second

child’s name or “N/A”) ______________________________________, a minor, age ________,

born on (date) ____________________.

3. That Petitioner is a competent person, is a resident of Clark County, Nevada, is at

least 18 years old, and is willing to act as Guardian Ad Litem to appear and prosecute said action

for the name change on behalf of (check one) Q his/ Q her child(ren).

4. That no general guardian, conservator, or other fiduciary has ever been appointed

on behalf of the child(ren) and the child(ren) is/are not ward(s) of any court.

WHEREFORE, Petitioner prays to be appointed as the Guardian Ad Litem for (first

child’s name) ________________________________ and (second child’s name or “N/A”)

_______________________________, to appear and prosecute an action for a change of name

on their behalf and to act for them for the purpose of this action.

DATED this ______ day of (month) ____________________, (year) ____________.

Respectfully submitted: (Your signature) _____________________________ (Your name) _____________________________ (Address) _____________________________ _____________________________ (Telephone) _____________________________ In Proper Person

VERIFICATION

STATE OF NEVADA ) ) ss: COUNTY OF Clark County) (Your name) _________________________________, under penalties of perjury, being

first duly sworn, deposes and says:

That I am the Petitioner in the above-entitled action; that I have read the foregoing



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By:

(Your signature) ________________________ (Your name) ________________________ SUBSCRIBED and SWORN to before me this ______ day of (month) ___________, (year) ________. _________________________________ NOTARY PUBLIC

ACKNOWLEDGMENT



undersigned Notary Public in and for the said County and State, personally appeared (your

name) _____________________________, known to me to be the person described in and who

executed the foregoing Application for Appointment as Guardian Ad Litem, and who

acknowledged to me that (check one) Q he/ Q she did so freely and voluntarily and for the uses



__________________________________ NOTARY PUBLIC

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Clark County Family Law Self-Help Center minor\namechmi.4go (#7) August 28, 2003 Use only most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.

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OGAL

(Your name) ___________________________

(Address) ___________________________

___________________________

(Telephone) ___________________________ In Proper Person

DISTRICT COURT




ORDER APPOINTING GUARDIAN AD LITEM

The above-entitled matter having been submitted to this Court for an Order Appointing

Guardian Ad Litem, and after reviewing the papers and pleadings on file, and good cause

appearing therefore;

IT IS HEREBY ORDERED that Petitioner (your name) _________________________

__________________________ the (check one) mother/ father of the minor child(ren)

___________________________________________________________ is appointed their

Clark County Family Law Self-Help Center minor\namechmi.4go (#7) August 28, 2003 Use only most current version ALL RIGHTS RESERVED Please call the Self-Help Center to confirm most current version.

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Guardian Ad Litem for the purpose of instituting and prosecuting an action on their behalf to

change their names as set forth in the Application for the Appointment asGuardian Ad Litem.

DATED this ________ day of _______________, __________.

____________________________________ DISTRICT COURT JUDGE Respectfully submitted: (Your signature) _____________________________

(Your name) _____________________________

(Address) _____________________________

_____________________________

(Telephone) _____________________________ In Proper Person /// ///

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PETITION FOR CHANGE OF NAME (FOR MINOR ......2011/10/20 · Petition for Change of Name, (f)...

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Transcript of PETITION FOR CHANGE OF NAME (FOR MINOR ......2011/10/20 · Petition for Change of Name, (f)...