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NAME CHANGEADULTThe Family Court Self-Help ProgramSelf Help ID #:

INSTRUCTIONS FOR FILING AN ACTION FOR NAME CHANGE ADULT You need this packet if you are over 18 years old and seek to have the court changeyour name. You must be a resident of Miami-Dade County to file this action. Place your present/current name as the Petitioner. The Clerk will explain to you the procedures to have your fingerprints taken. If at any time before or after you file your case you decide that you no longer wantto represent yourself, you may hire a lawyer.The Day of Your Self-Help AppointmentYou MUST be on time for your scheduled appointment. If you are late, youwill be rescheduled for another date and charged a reschedule fee of 20.Bring the following:1. Payment of 40.00 Self-Help Service Fee and all other applicable fees.2. Completed forms in English and black ink (please type or print legibly!)3. Use your present name as the “Petitioner”4. Pen (please use black ink only) (please type or print legibly!)5. White Correction Tape or White Correction Fluid (to correct any errors)6. Driver’s License, State ID, or Passport7. Applicable Fees8. Keep in mind the Clerk’s Office hours are from 9:00a.m. to 4:00p.m.The Day of Your Final Hearing1. Get to the Courthouse early and check in with the Bailiff or Clerk.2. Bring your Florida Driver’s License, Florida ID, Florida Voter’s RegistrationCard, or Affidavit of Corroborating Witness.3. Your case will be called by your last name. Approach the bench.4. After your hearing, wait outside the courtroom. The Clerk will walk youdown to the Clerk’s Office to get certified copies of your Final Judgment. Thecost is 1.00 for the certification and 1.50 per pageInstructions – Change of Name(Adult)1The Family Court Self-Help ProgramSelf Help ID #:

I. Filing a Name Change - Adult1. Complete the following documents:Petition for Change of Name Adult [Form A-6]Civil Cover Sheet [Form H]Notice of Uncontested Final Hearing [Form II]Acknowledgment of ReceiptNotice of Related Cases2. Make your appointment online lp-Program to review and notarize your documents. Please read the Self-HelpAppointment Types sheet before scheduling your appointment.3. After your Self-Help appointment, make a copy of all your documents:a. Original: File with the Clerk at 175 N.W. 1st Avenue, 12th Floor at theNEW FILINGS window and pay the filing fee of 401.00 (payable bycash, money order or credit card). The Clerk will explain how to haveyour fingerprints taken.b. Keep a copy for your records and to bring to the Final Hearing.4. After the Clerk stamps all of your documents with your new case number,return to Self-Help with the Notice of Final Hearing, Final Judgment ofChange of Name, and a self-addressed stamped envelope.5. You will receive the date of your Final Hearing in the mail in about 4 to 8weeks.6. Remember to follow the Clerk instructions on how to have yourfingerprints taken.Fee ScheduleSelf-Help Fee 40.00cash, credit card or money orderFiling Fee 401.00cash, credit card or money orderFingerprints(the Clerk will explain the procedures for taking your fingerprints)Certified Copies 1.00 1.50 per pagecash or credit cardIf you are not sure whether the Courts are open because of a possible Hurricane,please call the 11th Judicial Circuit Hotline at 305-349-7777.2Instructions – Change of Name (Adult)The Family Court Self-Help ProgramSelf Help ID #:

SCHEDULE YOUR SELF-HELP APPOINTMENT ONLINEThe Eleventh Judicial Circuit’s Self-Help Program (SHP) now provides SelfRepresented Litigants (SRL) the ability to schedule their Self-Help appointmentonline. Please read the different appointment types carefully below before clickingon the link to schedule your appointment. lp-ProgramPlease note that scheduling the incorrect appointment type can subject you tobeing rescheduled for another date. All SHP appointments are scheduled forspecific dates and times depending on appointment type. After you schedule yourappointment online, you will be receiving a confirmation via email and text withappointment details.FIRST-TIME VISIT: Your packet is fully completed and is ready for Self-HelpParalegal review prior to filing. The Self-Help service fee includes Paralegalreview, notarization of court documents, initial procedural information, follow-upprocedural information, and procedural information to obtain a hearing.Example.: To make your appointment online you will select First-Time Visit NameChangeBLITZ: Name Change packet is fully completed and ready for Self-Help Paralegalreview prior to filing. Self-Help service fee includes Paralegal review, notarizationof court documents, initial procedural information, follow-up procedural informationand procedural information to obtain a hearing.Example.: To make an appointment for a Blitz, you will select Blitz-Name ChangeWORKSHOP: Need assistance completing your packet prior to filing? The SelfHelp Program offers workshops with a Self-Help Paralegal at a nominal fee (seefee schedule online) to help you complete your documents.Example.: To make a Workshop appointment for a Paternity No Agreement packet,you will select Workshop-Name Change All Self-Help Fees and applicable fees can be paid at time of your Self-Helpappointment. To cancel or reschedule your Self-Help Appointment Self-Help-Program and click on FINDAPPOINTMENTThe Family Court Self-Help ProgramSelf Help ID #:

Important Information Regarding Your Self-Help AppointmentNeed help completing your packet?A 50.00 Workshop is offered at the Self-Help Program to help you complete your formsand notarize them. If you would like to participate in this workshop, Make yourappointment online elp-ProgramInformation you need to know for your Name Change Workshop appointment orSelf-Help appointment (First Time or Blitz) A valid Florida Driver’s License, Florida ID or U.S. PassportA valid address for you and your spouse Social Security number and date of birth for both you and your spouseAll applicable fees (please read the fees that apply in your packet)A pen in blue or black ink (please type or print legibly!)Correction tape or correction fluid Adult Birth Certificate (If the Birth Certificate(s) is/are in a foreignlanguage, you must also submit a full English translation. Thetranslator must sign a certification that the English languagetranslation is complete and accurate, and that he or she is competent totranslate from the foreign language into English. The certification mustinclude the translator’s signature.)1 regular envelopes with 1 post office stampYou are considered late 15 minutes after your scheduled appointment timeand will be rescheduledThe Family Court Self-Help ProgramSelf Help ID #:

FAMILY COURT COVER SHEETForm HCase Style: IN RE:CIRCUIT COURT OF THE ELEVENTHJUDICIAL CIRCUIT, IN AND FORMIAMI DADE COUNTY, FLORIDAPetitioner,andCase No.:Respondent.Judge:Type of Action/Proceeding. Place a check beside the proceeding you are initiating. If youare simultaneously filing more than one type of proceeding against the same opposing party, suchas a modification and an enforcement proceeding, complete a separate cover sheet for each actionbeing filed. If you are reopening a case, choose one of the three options below it. Initial Action/Petition Reopening Case Modification/Supplemental PetitionMotion for Civil Contempt/EnforcementOtherType of Case. If the case fits more than one type of case, select the most definitive. If themost definitive label is a subcategory (indented under a broader category label), place a check inthe category and subcategory boxes. Simplified Dissolution Dissolution of Marriage Name ChangeSupport IV-D (Dept of Revenue, CSE)Support Non-IV-D (NOT Dept of Rev)UIFSA IV-D (Dept of Revenue, CSE) Other Family CourtPaternity/Disestablish PaternityPetition for DependencyCINS/FINSUIFSA Non-IV-D (NOT Dept of Revenue,CSE)Rule of Judicial Administration 2.545(d) requires that a NOTICE OF RELATED CASESform be filed with the initial pleading. Are there related cases? No, to the best of my knowledge, no related cases exist. Yes, all related cases are listed on RELATED CASES form.PARTY SIGNATUREI CERTIFY that the information I have provided in this cover sheet is accurate to the bestof my knowledge and belief.Party Signature(Type or print your name)The Family Court Self-Help ProgramSelf Help ID #:Date

Form A-6IN THE CIRCUIT COURT OF THEELEVENTH JUDICIAL CIRCUITIN AND FOR MIAMI-DADE COUNTY,FLORIDAFAMILY DIVISIONIN RE: THE NAME CHANGE OF,Petitioner./CASE NO.:PETITION FOR CHANGE OF NAME (ADULT)1. This is an action for the change of name of an adult under §68.07, Florida Statutes.2. My complete present name is:The name on my current Birth Certificate is:I request that my name be changed to:3. I live in Miami-Dade County, Florida at {street address}.4. I was born on {date} , in {city} ,{county} , {state} , {country}.5. My father’s full legal name:My mother’s full legal name:My mother’s maiden name:6. I have lived in the following places since birth:Dates (to/from)Address////// Check here if you are continuing these facts on an attached page.Petition for Change of Name ( Adult )1 of 5The Family Court Self-Help ProgramSelf Help ID #:

Form A-67. Family [ all that apply]a. I am not marriedb. I am married. My spouse’s full legal name is:c. I do not have child(ren).d. The name(s), age(s), and address(es) are as follows (all children, includingthose over 18, must be listed):NameAgeAddress, City, State Check here if you are continuing these facts on an attached page.8. Former names [ all that apply]My name has never been changed by a court.My name previously was changed by court order fromto on{date} by {court, city, and state} .A copy of the court order is attached.My name previously was changed by marriage fromto on{date} by {court, city, and state} .A copy of the marriage certificate is attached.I have never been known or called by any other name.I have been known or called by the following other name(s): {list name(s)and explain where you were known or called by such name(s)}.9. OccupationMy occupation is:I am employed at: {company and address}Petition for Change of Name ( Adult )2 of 5The Family Court Self-Help ProgramSelf Help ID #:

Form A-6During the past 5 years, I have had the following jobs:Dates (to/from)Employer and Employer’s Address////// Check here if you are continuing these facts on an attached page.10. Business [ one only]I do not own and operate a business.I own and operate a business. The name of the business is:. The street address is:.My position with the business is: .I have been involved with the business since: {date}11. Profession [ one only]I am not in a profession.I am in a profession. My profession is:I have practiced this profession:Dates (to/from)Place and Address////// Check here if you are continuing these facts on an attached page.Petition for Change of Name ( Adult )3 of 5The Family Court Self-Help ProgramSelf Help ID #: