Connecticut My Child's Name Change Affidavit
Official state formLegal name changeFree downloadLast verified November 10, 2026
Notarized affidavit in which a parent asks the town clerk of the child's town of birth to change a minor child's name on the birth certificate after a Probate Court decree. It goes to the town clerk, not to the state office.
Who can use this form
- The parent of the minor child signs the affidavit before a notary public.
- The office's corrections and amendments page says a legal guardian or a parent listed on the birth certificate can make the request. The form names only the parent.
- The form refers to a name change decree entered by a Probate Court.
What to send with it
- The notarized affidavit, addressed to the town clerk of the town where the child was born.
- The form says you are submitting a copy of the Name Change Decree.
- The office's page, not the form, asks for the original certified legal name change court order, which is returned on request.
- The office's page, not the form, also asks for government issued photo ID from the requester.
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- The office's corrections and amendments page says there is no processing fee for amendments or corrections. The form states no fee.
- Typical processing
- Not provided
- Source
- Official government page