_____________________________ (Name) _____________________________ (Address) _____________________________ (City) _____________________________ (Telephone) ____________ DISTRICT COURT, ______________________ COUNTY, UTAH COURT’S ADDRESS: _____________________________________________________ IN THE MATTER OF THE NAME CHANGE OF: ORDER TO WAIVE SERVICE ______________________________,. (minor’s name) Case No. ____________________ A minor. Judge _______________________ The Court finds and orders as follows: [ ] Good cause exists to waive service in this matter. Therefore, the Court waives service of the Summons and Petition on the biological [ ] father / [ ] mother. [ ] Good cause does not exist to waive service in this matter. Therefore, the Court denies Petitioner’s Motion to Waive Service. The Court orders that the Summons and Petition be served on the biological [ ] father / [ ] mother before it will allow this matter to proceed further. DATED: ________________________ Minor’s Name Change: Order to Waive Service ______________________________ District Court Judge Approved: November 19, 2004 American LegalNet, Inc. www.USCourtForms.com