Kent County, MI · Kent County
Petition for Name Change and Ex Parte Request for Nonpublication and Confidential Record
This petition asks the family division of circuit court to change a name and, for good cause, keep notice unpublished and the proceeding confidential.
At a glance
- Issued by
- City of Kent County · Kent County, Kent County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- kentcountymi.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this petition to request a name change when you have good cause not to publish notice, such as concerns about physical danger, unlawful discrimination, or retaliation. It asks for petitioner and case details, the reason for the name change, proposed names, and evidence supporting the request for nonpublication and a confidential record. It also includes consent sections and asks the petitioner to sign under penalties of perjury.
Who needs it
A person seeking a name change who has good cause to request nonpublication and a confidential court record may file this petition.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the petitioner declares under penalties of perjury that the petition is true and signs and dates it.
How to submit this form
- 1
Download the Petition
Download the petition for a name change and a request for nonpublication and a confidential record.
- 2
Complete the Form
Fill in the case and petitioner information, explain the reason for the name change, and provide the proposed names.
- 3
Gather Attachments
Attach letters of guardianship when applicable; the form also specifies judgments of sentence for certain requests involving a noncustodial parent.
- 4
Sign and Date
Sign and date the petition and complete any applicable consent and statement-of-good-cause sections.
- 5
Submit to the County
Submit the completed petition to the county office named on the form; check the county website for current contact details.
Frequently asked questions
- What does this petition request?
- It requests a name change and, if the petitioner shows good cause, an order directing nonpublication and a confidential record of the proceeding.
- Who can use this name change petition?
- A person seeking a name change who has good cause not to publish notice, such as concern about physical danger, unlawful discrimination, or retaliation, may use this petition.
- Do I need a notary for this name change petition?
- No. The form has no notary block. The petitioner signs and dates it and declares under penalties of perjury that its contents are true.
- How do I submit this petition?
- Submit it to the county office named on the form. The form does not provide submission details, so check the county website for current contact information.