INSTRUCTIONS: VERIFIED PETITION NAME CHANGE CHILD UJS-030

This form is used in an uncontested name change for a minor. You can change the first, middle, and/or last name of the child using this form.

“Verified Petition Name Change Child UJS-030 Step 1”

In the caption, complete all lines except for the case number. In paragraph 1 of the form, provide the first, middle, and last name of the petitioner. Provide the minor child’s name in paragraph 2. Enter the child’s date of birth including month, day and year in the 3rd paragraph.

“Verified Petition Name Change Child UJS-030 Step 2”

Enter the child’s place of birth in paragraph 4 including city, county, and state. Provide the petitioner’s relationship to the child in paragraph 5. Provide each legal parent’s information in paragraph 6 including their last known address. Provide the petitioner’s physical address in paragraph 7 including city and county.

“Verified Petition Name Change Child UJS-030 Step 3”

Enter the county where the petitioner resides in paragraph 8 and how long they’ve resided in the county. Provide the minor’s physical address in paragraph 9 and the duration of time they’ve lived there.

“Verified Petition Name Change Child UJS-030 Step 4”

Provide the minor’s addresses over the last 5 years in paragraph 10. If the child has only lived with parents, write “With the parents only” on the lines provided. State whether there have been previous hearings concerning the child, and state whether another person has legal custody of the child besides the parents.

“Verified Petition Name Change Child UJS-030 Step 5”

In paragraphs 11 and 12, provide the full names of the child’s mother and father as they appear on their birth certificates. Write “N/A” if the father’s name does not appear on the birth certificate. In paragraphs 13 and 14, provide the mother and father’s place of birth.

“Verified Petition Name Change Child UJS-030 Step 5”

In paragraph 15, provide the child’s current name, requested name change, and reason for name change in the third line. Sign the Petition and complete the Verification in front of the Clerk of Court.

“Verified Petition Name Change Child UJS-030 Step 6”

Notice of the Hearing needs published in a local newspaper for four consecutive weeks prior to the hearing. The Affidavit of Publication needs filed with the clerk before the hearing. Regard the following link for more information: http://ujs.sd.gov/uploads/forms/ProSeNameChangeForms/UJS-029_Instructions_Name_Change_Child.pdf