_____________________________ (Name) _____________________________ (Address) _____________________________ (City) _____________________________ (Telephone) ____________ DISTRICT COURT, ______________________ COUNTY, UTAH COURT’S ADDRESS: _____________________________________________________ IN THE MATTER OF THE NAME CHANGE OF: MOTION TO WAIVE SERVICE ______________________________,. (minor’s name) Case No. ____________________ A minor. Judge _______________________ I ask the Court to waive service on ________________________________________, (name of biological father or mother) who is the minor’s biological [ ] father / [ ] mother. My affidavit is attached, and supports this Motion to Waive Service. DATED: _________________________ Minor’s Name Change: Motion to Waive Service ____________________________________ Petitioner Approved: November 19, 2004 American LegalNet, Inc. www.USCourtForms.com