This fill in the blank form was created by Legal Aid of West Virginia (LAWV) for persons representing themselves
to complete and file on their own. LAWV assumes no responsibility for content added by persons using this form.
LAWV ADMINISTRATIVE OFFICE 922 Quarrier Street, 4th Floor, Charleston, WV 25301, (800) 642-8279
IN THE CIRCUIT COURT OF COUNTY, WEST VIRGINIA
CHANGE OF NAME FROM
to
Civil Action No.________________
LEGAL NOTICE OF PUBLICATION
CHANGE OF NAME
Order of Publication
Circuit Court of County,
West Virginia
Notice is hereby given that on the day of , 20_____, at
o’clock, .m, or as soon thereafter as the matter can be heard, Petitioner, ,
will apply by petition to the Circuit Court of County, West Virginia,
before the Honorable Judge ___________________________________, for the entry of an order
by said Court, changing his/her child’s name from ________________
to ____________ . At which time any interested party may appear and
be heard, if they so desire. Further, said hearing may be rescheduled without further notice or
publication. A copy of said Petition can be obtained from the undersigned Clerk at his office.
ENTERED by the Clerk of said Court this day of , 20___.
___________________
Circuit Clerk