Name Change Petition

IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT FORM

Alaska requires the use of official court form CIV-700 (Petition for Change of Name) for name change petitions.
This template provides the substantive legal content to help you prepare — but you must
transfer your content to the official form before filing. The official form is available at
courts.alaska.gov. Do not file this document directly with the court.

PETITION FOR CHANGE OF NAME

Table of Contents

1. Caption
2. Petitioner Information
3. Current and Proposed Name
4. Residency Verification
5. Grounds for Name Change
6. Criminal History Disclosure
7. Publication Requirement
8. Notice to Interested Parties
9. Declaration and Verification
10. Order Granting Name Change
11. State-Specific Notes

Caption

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
[________________________________] JUDICIAL DISTRICT AT [________________________________]

In the Matter of the Change of Name of:

[________________________________]
(Current Legal Name of Petitioner)

Case No.: [________________________________]

PETITION FOR CHANGE OF NAME

COMES NOW the Petitioner, [________________________________], and respectfully petitions this Honorable Court pursuant to Alaska Statutes § 09.55.010 and Alaska Civil Rule 84 for an Order changing Petitioner's legal name, and in support thereof states as follows:

Petitioner Information

1. Full Current Legal Name: [________________________________]

2. Proposed New Legal Name: [________________________________]

3. Date of Birth: [__/__/____]

4. Place of Birth (City, State/Country): [________________________________]

5. Social Security Number (last four digits): XXX-XX-[____]

6. Current Mailing Address:
   [________________________________]
   [________________________________]
   [________________________________]

7. Telephone Number: [________________________________]

8. Email Address: [________________________________]

9. Driver's License / State ID Number: [________________________________]

Residency Verification

10. Petitioner is a resident of the State of Alaska and resides in the [________________________________] Judicial District.

11. Petitioner's current physical address is:
    [________________________________]
    [________________________________]

Grounds for Name Change

12. Petitioner seeks to change their legal name for the following reason(s):

☐ Marriage or civil union
☐ Divorce or dissolution of marriage
☐ Personal preference
☐ Gender identity
☐ Return to maiden or former name
☐ Religious or cultural reasons
☐ Other: [________________________________]

13. Detailed explanation of reasons for the requested name change:

[________________________________]
[________________________________]
[________________________________]

14. The requested name change is in the public interest and is not being sought to defraud creditors, avoid debts or obligations, evade law enforcement, or for any other improper purpose.

Criminal History Disclosure

15. Petitioner discloses the following regarding criminal history and correctional status:

☐ Petitioner is NOT committed to the custody of the Department of Corrections.
☐ Petitioner IS committed to the custody of the Department of Corrections.

☐ Petitioner is NOT on probation.
☐ Petitioner IS on probation. Case No.: [________________________________]

16. Sex Offender Registry Status:

☐ Petitioner is NOT required to register as a sex offender under Alaska law or the law of any other jurisdiction.
☐ Petitioner IS required to register as a sex offender. Details: [________________________________]

17. Pending Criminal Charges:

☐ Petitioner does NOT have any pending criminal charges.
☐ Petitioner DOES have pending criminal charges. Case No.: [________________________________]

Publication Requirement

18. Petitioner understands that, upon filing of this Petition and scheduling of a hearing, Petitioner is required to publish notice of the name change petition and hearing date in a local newspaper of general circulation once per week for four (4) consecutive calendar weeks prior to the hearing.

19. Name of newspaper selected for publication: [________________________________]

Notice to Interested Parties

20. Petitioner states that the following persons may have an interest in this proceeding:

☐ There are no interested parties who need to be notified beyond the publication requirement.

Declaration and Verification

I, [________________________________], the Petitioner herein, being duly sworn under oath, state that I have read the foregoing Petition and that the statements contained herein are true and correct to the best of my knowledge, information, and belief.

Petitioner's Signature: ____________________________________

Date: [__/__/____]

STATE OF ALASKA
[________________________________] JUDICIAL DISTRICT

Subscribed and sworn to before me this [____] day of [________________], [____].

Notary Public Signature: ____________________________________
Printed Name: [________________________________]
My Commission Expires: [__/__/____]

[NOTARY SEAL]

Order Granting Name Change

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
[________________________________] JUDICIAL DISTRICT AT [________________________________]

In the Matter of the Change of Name of:
[________________________________]

Case No.: [________________________________]

ORDER GRANTING CHANGE OF NAME

This matter having come before the Court upon the verified Petition of [________________________________] for a change of name pursuant to AS 09.55.010 and Civil Rule 84, and the Court having reviewed the Petition, received proof of publication, considered the evidence presented, and being fully advised in the premises;

THE COURT FINDS THAT:

1. The Petitioner resides in this judicial district.

2. Notice has been published as required by law.

3. The Petitioner has shown sufficient reasons for the change of name.

4. The requested name change is consistent with the public interest.

5. No objections have been filed, or all objections have been heard and overruled.

IT IS THEREFORE ORDERED that the name of the Petitioner is hereby changed from [________________________________] to [________________________________], effective as of the date of this Order.

IT IS FURTHER ORDERED that the Petitioner may use the new name in all legal and official documents, records, and transactions.

ENTERED this [____] day of [________________], [____].

____________________________________
Superior Court Judge
[________________________________] Judicial District

State-Specific Notes

Alaska Name Change Key Points

• Court: Superior Court of the judicial district where the petitioner resides.
• Statutory Authority: AS 09.55.010; Alaska Civil Rule 84.
• Residency Requirement: Must reside in the judicial district of filing; no specific minimum duration.
• Publication: Required — once per week for four consecutive weeks in a local newspaper; must be completed before the hearing.
• Hearing: Scheduled not less than 40 days from the filing date; Petitioner must appear and explain the reason for the name change.
• Filing Fee: Approximately $150; fee waiver available (Form TF-920).
• Official Form: CIV-700 (Petition for Change of Name).
• DOC/Probation Restriction: Persons in DOC custody, on probation, or required to register as a sex offender must serve notice on the appropriate department before the court will consider the petition.
• Pending Charges: Persons with pending criminal charges must provide the case number to the court.
• Minor Name Changes: Require the consent of both parents or a court order; use Form CIV-693 or CIV-699.
• Sealed Records: The court may seal the record in cases involving safety concerns (e.g., domestic violence, stalking).

Sources and References

• Alaska Court System — Name Change Forms
• Alaska Statutes § 09.55.010
• Alaska Name Change FAQ