This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. NCM - R 2003.2 Page 1 of 2 (0 3 /1 8 ) STATE OF ILLINOIS , REQUEST FOR NAME CHANGE (MINOR CHILDREN) For Court Use Only CIRCUIT COURT COUNTY Instructions Directly above, enter the county name where you will file this case. REQUEST OF : Enter the name of the person asking the court to change the names of minor children. First, Middle, Last Name Case Number DO NOT enter a Case Number, the Circuit Clerk will add it. TO CHANGE NAMES OF MINOR CHILDREN In 1, enter the current first, middle, and last name of the children and the new first, middle, and last name that you would like for the children. I ask the court to enter order s to c hange the name s of the minor children list ed below, and state: 1. Names . Current Name of Minor Child Proposed New Name of Minor Child In 1, if you have more than 4 children, list additional children on the Request for Name Change - Additional Children form and check the box. a. b. c . d. I am requesting name changes for more than 4 children. I have attached a Request for In 2, complete a Request for Name Change - Child Information form for each child and attach it to this Request for Name Change (Minor Children). Name Change 226 Additional Children form. 2. I have attached a Request for Name Change - Child Information form for each child. Yes No In 3, enter the date you started living in Illinois. You must have lived in Illinois for 6 months before you can file this Request. 3. I have lived continuously in Illinois for at least 6 months. I started living in Illinois on: Date American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: NCM - R 2003.2 Page 2 of 2 (0 3 /1 8 ) Under the Code of Civil Procedure, 735 ILCS 5/1-109 , making a statement on this form that you know to be false is a Class 3 Felony. I certify that everything stated on the Request for Name Change (Minor Children) and on the attached Request for Name Change - Child Information form is true and correct to the best of my knowledge. I understand that making a false statement on this form is perjury and has penalties provided by law under 735 ILCS 5/1 - 109 . If you are completing this form on a computer, sign your name by typing it. If you are completing it by hand, sign and print your name. /s/ Your Signature Street, Apt # Print or Type Name City, State, Zip Enter your complete current address and telephone number. Telephone GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email every day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail. I agree to receive court documents at this email address during my entire case. Email NOTE This section must be filled out by someone else, not by you. VERIFICATION BY WITNESS I, Witness: Enter your full name. First Middle Last certify that what is stated above and on the attached Request for Name Change (Minor Children) Under the Code of Civil Procedure, 735 ILCS 5/1-109 , making a statement on this form that you know to be false is a Class 3 Felony. form is true and correct to the best of my knowledge and belief. I understand that making a false statement on this form is perjury and has penalties provided by law under 735 ILCS 5/1 - 109 . Witness Signature Street, Apt # Witness: Sign and print your name. Witness: Enter your complete address and telephone number. Print or Type Name City, State, Zip Telephone American LegalNet, Inc. www.FormsWorkFlow.com