Wisconsin Name Change Forms – How to Change Your Name in WI
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Enter the name of the
county in which this
case was filed.
Enter your current
name. You are the
Petitioner.

STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
IN THE MATTER OF THE NAME CHANGE OF

First Name

Middle Name

Last Name

Amended

Petition For
Name Change

The clerk will enter the
case number.

(Adult or Minor 14 or Older) (30708)
Case No.

In 1, enter your complete I am the Petitioner and state:
1. My address is [Street Address, City, State and Zip]
address.
In 2, enter the County
where you live.
2. I live in
County, Wisconsin.
In 3, enter the date and
state of your birth.
In 4, enter the state that
the birth certificate was
issued and name as it
appears on the birth
certificate.
In 5, enter your job title.
In 6, check a or b. In 7,
check the appropriate
box.
In 8, enter your
proposed new name.
Enter the reason(s) you
want to change your
name.
Check 9 if you want
your name changed on
your WI birth certificate.

3. I was born on [Date]

in the state of

.

4. My birth certificate was