the deed poll company
change your name by deed poll for £15
information - home page Contact the Deed Poll Company child change of name form adult change of name form This page: Child (Change of Name by Deed Poll)

the deed poll company can change your name or your child's name for £15

The boxes with a * beside them must be filled.

This form is based on English law only. If you are from another country please check by emailing:
info@thedeedpoll.co.uk

When your credit or debit card is processed we will prepare the deed poll which will be sent out by first class post.

We take major credit and debit cards (see opposite).
The service is powered by WorldPay.

If you are not fully satisfied with your change of name deed poll contact us via email within 7 days. You will be given the address to which the deed poll can be returned and a full refund will be given.

Please email:
info@thedeedpoll.co.uk
with any questions

The Deed Poll Company
www.thedeedpoll.co.uk

Payments powered by WorldPay
Form for Child (under 16):
Mother's full name:
 *
Current full name of child:
 *
Proposed full name of child:
 *
*Please tick: boy     girl  
Date of birth:
dd/mm/yyyy
*
Place of birth:
(City or Town and County)
*
Email (yours):
 *
* One of the following 4 must be ticked by clicking in the box. By doing this you are acknowledging that the statement is true. If none of them apply please give details in the 'Any Further Information' box at the end of the form.
I was never married to my child's father and I have sole parental responsibility.
I was married to my child's father and I have obtained his written consent for the change of name.
Although I was married to my child's father I have no contact with him and am unable to obtain his consent, I have therefore obtained a court order to allow this change of name.
Click here to see how to do this
(use the back button to get back to this page).
My child was born on or after 1st December 2003. I was not married to the father, he is named on the birth certificate but I am unable to contact him to obtain his consent for the name change. I understand that this deed poll will be issued at my own risk and no refund will be made if it is not accepted due to lack of consent.

Address: THIS ADDRESS APPEARS ON THE DEED POLL
(you only need to fill this in if your address is different from the credit card billing address)

Any further information:

Please click this only once -
There may be a short delay

After you click on 'Send' you will see the following:
1. You will be shown the shopping basket with the price of £15 (Pounds Sterling).
Extra original copies are available for only £1 each if you order them with your application. On the shopping basket click on 'Products' and complete the box with the number of copies labeled 'Additional original copies of Deed Poll'. Click on Add to Cart.
Click on the Checkout button to continue.
The quantity should be set to 1 (you can change this if it is incorrect and click on Recalculate) unless you have requested more than one change of name.
2. You will be asked for your details. Please fill these in and click on Continue
3. A summary of your details will appear. Click on the Confirm button to go through to WorldPay secure web site to make your credit or debit card payment.
4. Click on the card you wish to use.
5. Fill in your credit card details and click on Make Payment.

Please email:
info@thedeedpoll.co.uk
with any questions

Debit and credit cards:



www.thedeedpoll.co.uk the deed poll company