Form NAM203 "Criminal History Check Release for Name Change of a Minor" - Minnesota

Form NAM203 or the "Criminal History Check Release For Name Change Of A Minor" is a form issued by the Minnesota District Courts.

The form was last revised in October 1, 2007 and is available for digital filing. Download an up-to-date Form NAM203 in PDF-format down below or look it up on the Minnesota District Courts Forms website.

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Download Form NAM203 "Criminal History Check Release for Name Change of a Minor" - Minnesota

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Criminal History Check Release for Name Change of a Minor
Minnesota Statute requires that the Court shall determine whether any person that is seeking to have
their name changed has a criminal history in this or any other state. The court may conduct a search
of national records through the Federal Bureau of Investigation by submitting a set of fingerprints
and the required fee to the Bureau of Criminal Apprehension.
To comply with Minn. Stat. § 259.11, you must supply the following information and attach this
document when you file your application. You must complete a separate form for each party covered
on the application, including a form for each minor that is 10 years of age or older.
If there is a criminal history, both the court administrator and the name change applicant must report
the name change to the Bureau of Criminal Apprehension within ten days of the date of filing. (See
instructions for additional information.)
First
Middle
Last
Full Name of Minor
List Any Other Names By Which the Minor Has Been Known:
First
Middle
Last
_________________________________________________________________________________
_________________________________________________________________________________
 Female
 Male
Date of Birth
Race
I hereby give permission to law enforcement agencies, the Bureau of Criminal Apprehension
and/or Federal Bureau of Investigation to release criminal history information to the court.
Applicant’s Signature
If incomplete, we will not be able to process your application.
Record information will be placed in the name change file that is accessible to the public.
Do Not Write Below This Line
For Bureau of Criminal Apprehension Records
______ No records found
______ See attached record(s)
Verifier’s Signature
(to be submitted to court)
NAM203
State
ENG
Rev 10/07
www.mncourts.gov/forms
Page 1 of 1
Criminal History Check Release for Name Change of a Minor
Minnesota Statute requires that the Court shall determine whether any person that is seeking to have
their name changed has a criminal history in this or any other state. The court may conduct a search
of national records through the Federal Bureau of Investigation by submitting a set of fingerprints
and the required fee to the Bureau of Criminal Apprehension.
To comply with Minn. Stat. § 259.11, you must supply the following information and attach this
document when you file your application. You must complete a separate form for each party covered
on the application, including a form for each minor that is 10 years of age or older.
If there is a criminal history, both the court administrator and the name change applicant must report
the name change to the Bureau of Criminal Apprehension within ten days of the date of filing. (See
instructions for additional information.)
First
Middle
Last
Full Name of Minor
List Any Other Names By Which the Minor Has Been Known:
First
Middle
Last
_________________________________________________________________________________
_________________________________________________________________________________
 Female
 Male
Date of Birth
Race
I hereby give permission to law enforcement agencies, the Bureau of Criminal Apprehension
and/or Federal Bureau of Investigation to release criminal history information to the court.
Applicant’s Signature
If incomplete, we will not be able to process your application.
Record information will be placed in the name change file that is accessible to the public.
Do Not Write Below This Line
For Bureau of Criminal Apprehension Records
______ No records found
______ See attached record(s)
Verifier’s Signature
(to be submitted to court)
NAM203
State
ENG
Rev 10/07
www.mncourts.gov/forms
Page 1 of 1
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