Michigan Petition for Name Change and Ex Parte Request for Nonpublication and Confidential Record (PC 51c)

Who can use this form

• A person who has good cause not to publish notice of the name change proceeding.
• Good cause includes a belief that publication will put the person or another individual in danger of physical harm, or at risk of unlawful retaliation or discrimination.
• Each person whose name will change has been a resident of the county for at least one year.
• For a minor: the parents jointly, the sole surviving parent, the only available parent with legal custody, or a guardian petitions or consents.
• A minor who is 14 years old or older must give written consent.

What to send with it

• The completed petition, signed by the petitioner under the penalties of perjury. It is used instead of form PC 51.
• The Statement of Good Cause on page 3, filled in and signed.
• The signed consent of the spouse, if the petition includes a spouse.
• Letters of guardianship, if a guardian is named.
• The judgment of sentence, if the petition relies on a conviction of the noncustodial parent.

Where to send it

Mail to

See the form for where to file it.

State fee

Not provided

Typical processing

Not provided

Issued by

Michigan State Court Administrative Office

Form revision

Rev. 5/25

Source

Not provided