NOTC

Your Name:
Address:

Telephone:
Email Address:
Self-Represented

DISTRICT COURT
CLARK COUNTY, NEVADA

In the Matter of the Application of:

___________________________________ CASE NO.: ____________________
(Parent’s name(s))
DEPT: _____________________
For Change of Name of the Minor Children:
___________________________________
(First child’s name)
___________________________________
and (Second child’s name or “N/A”)

NOTICE OF PETITION TO CHANGE MINOR CHILD’S NAME

TO: (Name of parent not consenting to the name change):

NOTICE IS HEREBY GIVEN that a petition has been filed in the above-entitled Court asking
for an Order changing the name of a minor child from (clearly print the first child’s current legal
name),

_____________________ ______________________ _______________________

(first) (middle) (last)

to: (clearly print the new name requested)

_____________________ ______________________ _______________________

(first) (middle) (last)

© 2017 Family Law Self-Help Center Notice of Petition for Child’s Name Change

1
and changing the name of a minor child from (clearly print the second child’s current legal
name),

_____________________ ______________________ _______________________

(first) (middle) (last)

to: (clearly print the new name requested)

_____________________ ______________________ _______________________

(first) (middle) (last)

If you object to the changing of the minor child(ren)’s name(s), you must file a written objection
with the above-entitled Court within 10 days of the last publication of this Notice.

DATED this (day) ______ day of (month) ______________, 20____.

By: (your signature)__________________________________

(print your name) __________________________________

Page 2 of 2 – Notice of Petition for Child’s Name Change