____________ DISTRICT COURT, ______________________ COUNTY, UTAH 

OURT’S ADDRESS:  _____________________________________________________ 

 

N THE MATTER OF THE   
NAME CHANGE OF: 

_____________________________,. 
(minor’s name) 

 

  
     MOTION TO WAIVE SERVICE 
      

         A minor. 
 

Case No. ____________________ 

Judge  _______________________ 

 
I ask the Court to waive service on ________________________________________,  

 
                                                                               (name of biological father or mother) 

who is the minor’s biological [  ] father  /  [  ] mother.  My affidavit is attached, and supports this 

Motion to Waive Service.  

ATED:   _________________________  ____________________________________ 

 

 

 

 

 

Petitioner 

 

  C

 

   I

  _

     

 

   

    D

 

_____________________________ 
(Name) 
_____________________________  
(Address) 
_____________________________  
(City) 
_____________________________  
(Telephone) 

Minor’s Name Change:  Motion to Waive Service                                               Approved:  November 19, 2004 



MOTION TO WAIVE SERVICE

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