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Application for permission to change a child's surname (Section 28 Adoption and Children Act 2002)

Document Cited authorities 2 Cited in Related
Vincent
Published date21 March 2018
Subject MatterAdoption forms
Application for permission
to change a child’s surname
Section 28 Adoption and
Children Act 2002
Name of court
Serial no.
Date received by the court
Date issued
Fee charged/Remission ID
Notes to applicants
• This form is only for use if you are applying for permission under section 28 of the Adoption and Children
Act 2002 to change a child’s surname.
• Before completing this form, please read the guidance notes carefully.
• Please complete every Part. If any question does not apply to your application, or you are not sure of the
answer, please say so.
• If there is not enough room for your reply to any question, continue on a separate sheet. Please put the
child’s name, the number of the Part and the paragraph reference at the head of the continuation sheet.
• Please use black ink when lling in the form.
Part 1 About you
a) Title
b) My name is
First name(s) in full
c) My address is (including postcode)
Last name
d) My telephone number is
e) My solicitor in these proceedings is
See Note 2
See Note 3
f) My relationship to the child is See Note 4
A55 Application for permission to change a child’s surname Section 28 Adoption and Children Act 2002 (11.16) © Crown copyright 2016
Name of solicitor
Name of firm
Address
(including postcode)
Telephone no. Fax no.
DX no.
E-mail address
Fee account no.
Mr Mrs Miss Ms Other See Note 1
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