Form CIV-694 Petition to Change Child's Name - Alaska

Form CIV-694 or the "Petition To Change Child's Name" is a form issued by the Alaska Superior Court.

The form was last revised in June 1, 2015 and is available for digital filing. Download an up-to-date Form CIV-694 in PDF-format down below or look it up on the Alaska Superior Court Forms website.

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Person Filing Petition:
Name:
Telephone No.
Address:
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of a Change of Name for:
)
)
,
)
A Minor Child (current legal name)
)
Date of Birth
,
)
)
CASE NO.
CI
By:
,
)
PETITION TO
Petitioner (parent or legal guardian)
)
CHANGE CHILD’S NAME
)
Petitioner requests that the Court change the name of the minor child as follows:
1.
The minor child’s current legal name is
First Name
Middle Name
Last Name
2.
I wish the child to take and be legally known by a new name, which is:
First Name
Middle Name
Last Name
3.
I am the minor child’s legal
mother
father
guardian.
4.
Consent to this name change by
the minor child’s:
mother
father
Name of Non-Petitioning Parent
is attached.
is not attached.
is not necessary because:
this parent is deceased.
A certified copy of the child’s birth
certificate and the parent’s death certificate are attached.
parental rights were terminated on
in a court in the state of
other:
5.
The reasons for this request are:
Page 1 of 2
CIV-694 (6/15)(cs)
Civil Rule 84(e)
PETITION TO CHANGE CHILD’S NAME
AS 09.55.010
Person Filing Petition:
Name:
Telephone No.
Address:
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of a Change of Name for:
)
)
,
)
A Minor Child (current legal name)
)
Date of Birth
,
)
)
CASE NO.
CI
By:
,
)
PETITION TO
Petitioner (parent or legal guardian)
)
CHANGE CHILD’S NAME
)
Petitioner requests that the Court change the name of the minor child as follows:
1.
The minor child’s current legal name is
First Name
Middle Name
Last Name
2.
I wish the child to take and be legally known by a new name, which is:
First Name
Middle Name
Last Name
3.
I am the minor child’s legal
mother
father
guardian.
4.
Consent to this name change by
the minor child’s:
mother
father
Name of Non-Petitioning Parent
is attached.
is not attached.
is not necessary because:
this parent is deceased.
A certified copy of the child’s birth
certificate and the parent’s death certificate are attached.
parental rights were terminated on
in a court in the state of
other:
5.
The reasons for this request are:
Page 1 of 2
CIV-694 (6/15)(cs)
Civil Rule 84(e)
PETITION TO CHANGE CHILD’S NAME
AS 09.55.010
6.
This name change is sought for personal reasons and not to avoid judgments, debts,
obligations, or to defraud any person. The reasons stated are consistent with the public
interest.
VERIFICATION
I state on oath or affirm that I have read this document and believe all statements made in it
are true.
Date
Petitioner’s Signature
Printed Name
Subscribed and sworn to or affirmed before me at
, Alaska
on
.
(Date)
Clerk of Court, Notary Public or other person
(SEAL)
authorized to administer oaths.
My commission expires:
Page 2 of 2
CIV-694 (6/15)(cs)
Civil Rule 84(e)
PETITION TO CHANGE CHILD’S NAME
AS 09.55.010

Download Form CIV-694 Petition to Change Child's Name - Alaska

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