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ADULT
© 2019 Family Law Self-Help Center Motion to Waive Publication (Adult)
* You are responsible for knowing the law about your case. For more information on the law, this form, and free
classes, visit www.familylawselfhelpcenter.org or the Family Law Self Help Center at 601 N. Pecos Road. To find
an attorney, call the State Bar of Nevada at (702) 382-0504.
1
EXMT
Your Name:
Address:
Telephone:
Email Address:
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Application of:
(Your Current Name)
_
__________________________________
For Change of Name.
CASE NO.: ____________________
DEPT: _____________________
EX PARTE MOTION TO WAIVE PUBLICATION REQUIREMENT
AND TO SEAL FILE
Petitioner, in Proper Person, pursuant to NRS 41.280(2), hereby requests this Court waive
the publication requirement of NRS 41.280 and order the file in this matter be sealed.
POINTS AND AUTHORITIES
I. LEGAL AUTHORITIES
NRS 41.280 states,
1. Except as otherwise provided in subsection 2, upon the filing of the petition, the applicant
shall make out and procure a notice that must:
(a) State the fact of the filing of the petition, its object, his present name and the name which
he desires to bear in the future; and
(b) Be published in some newspaper of general circulation in the county once a week for 3
successive weeks.
2. If the applicant submits proof satisfactory to the court that publication of the change of name
would place his personal safety at risk, the court shall not require the applicant to comply with
the provisions of subsection 1 and shall order the records concerning the petition and any
proceedings concerning the petition to be sealed and to be opened for inspection only upon an
order of the court for good cause shown or upon the request of the applicant.
Page 2 of 2 –Motion to Waive Publication (Adult)
II. FACTS AND ARGUMENT
Publication of the Notice of Petition will put my personal safety at risk because:
WHEREFORE, Petitioner prays for the following:
1. The Court waive the publication requirement for the Petition for Change of Name;
2. The Court Order that the records and any proceedings in this case be sealed; and
3. For such other and further relief that this Court may deem just and proper.
DATED (month) __________________________ (day) _____, 20___.
Submitted By: (Signature)_________________________________
Printed Name: _________________________________
DECLARATION IN SUPPORT OF EX PARTE MOTION
1. I am the Petitioner in this case. I have read the Ex Parte Motion to Waive Publication
Requirement and to Seal File and the contents of that motion are true and correct to the best
of my knowledge.
2. My personal safety would be at risk should this Court require publication of the Notice of
Petition for the reasons stated in the Ex Parte Motion.
3. I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is
true and accurate.
DATED (month) __________________________ (day) _____, 20___.
Subm
itted By: (Signature)_________________________________
Printed Name: _________________________________
/s/
/s/
© Clark County Family Law Self-Help Center Order to Waive Publication & Seal File (Adult) – Dec. 2014
1
ORDR
Name: ___________________________
Address: _________________________
City, State, Zip: ____________________
Phone: ___________________________
Email: ___________________________
Self-Represented Petitioner
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Application of:
(Your Current Name)
_
__________________________________
For Change of Name.
CASE NO.: ____________________
DEPT: _____________________
ORDER TO WAIVE PUBLICATION AND SEAL FILE
Upon Petitioner’s Ex Parte Motion to Waive Publication Requirement and to Seal File
pursuant to NRS 41.280(2), and good cause appearing,
IT IS HEREBY ORDERED that the publication requirement for the Petition for Change
of Name is waived.
IT IS FURTHER ORDERED that the records and any proceedings concerning this case
are sealed.
DATED the _______ day of ____________________, 20_____.
__________________________________________
DISTRICT COURT JUDGE
Submitted By: (your signature) ____________________________
(print your name) _____________________________
/s/
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