NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
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See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Original Petition for Change of Name of Child
1.Discovery in this case is intended to be conducted under [level 2/level 3] of rule 190 of the Texas Rules of Civil Procedure. [If level 3, see form 5-1.]
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Include 2. if applicable. |
2.Petitioner objects to the assignment of this matter to an associate judge for a trial on the merits or presiding at a jury trial.
3.This suit is brought by [name of petitioner], Petitioner, who is the [parent/managing conservator/guardian of the person] of [name of child]. [The last three numbers of Petitioner’s driver’s license number are [numbers]./Petitioner has not been issued a driver’s license.] [The last three numbers of Petitioner’s Social Security number are [numbers]./Petitioner has not been issued a Social Security number.]
4.[Name of child] is a minor and resides in [county] County, Texas. [Name of child]’s present full legal name, address, and Social Security number are:
Name:
Address:
[Name of child] was born on [date].
5.[Name of child] is not subject to the continuing jurisdiction of any court.
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Or |
5.[Name of child] is subject to the continuing, exclusive jurisdiction of [this Court/the [designation] Court of [county] County, Texas].
6.[Name of child] [is/is not] subject to the registration requirements of chapter 62 of the Texas Code of Criminal Procedure.
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Include 7. if applicable. |
7.Respondent, [name of respondent], is the [parent/possessory conservator] of [name of child]. [Respondent should be served with process [include if applicable: at [address, city, state, zip code]]./No service is necessary at this time.]
8.Petitioner requests the Court to grant a change of [name of child]’s name to [first, middle, and last names as they should appear in the order].
9.The reason for the requested change is [state specific reason for name change].
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Include 10. if the child is ten or older. |
10.[Name of child]’s written consent to the change of name is attached to this petition.
11.Petitioner prays that the Court grant Petitioner’s Petition for Change of Name of Child.
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Include the following if applicable. |
Petitioner prays that citation and notice issue as required by law.
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Continue with the following. |
Petitioner prays for general relief.
[Name]
Attorney for Petitioner
State Bar No.:
[Email address]
[Address]
[Telephone]
[Fax]
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An unsworn declaration may be used in place of a verification. See form 8-27. |
Verification
I, [name of petitioner], Petitioner, swear under oath that I have personal knowledge of the facts stated in the Petition for Change of Name of Child and that they are true and correct.
[Name of petitioner]
SIGNED under oath before me on ______________________________.
Notary Public, State of Texas
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Attach the child’s written consent, if applicable. |
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For initial disclosures required by Tex. R. Civ. P. 194 (generally within thirty days after filing of the first answer or general appearance), see form 5-18. |


