Medical Affidavit Sample For Name Change

State:
Mississippi
Control #:
MS-62762
Format:
Word; 
Rich Text
Instant download

Description

The Medical Affidavit Sample for Name Change is a legal document utilized primarily in Mississippi to validate an individual's request for a name change based on medical evidence. This affidavit requires a licensed medical professional to testify about their treatment of the individual seeking a name change, confirming the accuracy of attached medical records and opinions. Key features of the form include sections for the doctor's credential affirmations, a statement of the medical history, and the inclusion of relevant exhibits. Users must ensure that the medical records are authentic and reflect the individual's situation accurately. Filling instructions emphasize the need for personal knowledge from the medical professional and require notarization to verify authenticity. The form is particularly useful for attorneys, partners, and legal assistants who need to facilitate name change processes efficiently. It provides a structured way to present medical reasoning in legal contexts, making it invaluable for paralegals and associates working within family law or personal identification matters. The clear layout and straightforward language make the affidavit accessible for users with limited legal experience, aiding in effective document preparation.
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FAQ

What is the procedure to change the name of a child? Three steps are often required to change your name: filing an affidavit; newspaper publication; and finally, publication in the gazette. The entire procedure may take up to one month, and it could take two weeks for the newspaper and gazette notifications to appear.

The following are six critical sections that must be included: Title. This is either your name (?Affidavit of Jane Doe?) or the specific case information. Statement of identity. The next paragraph tells the court about yourself. ... Statement of truth. ... Statement of facts. ... Closing statement of truth. ... Sign and notarize.

Sample Format of an Affidavit for Name Change of Minor That I am the natural guardian of the minor child, [Minor's Old Name], born on [Date of Birth] at [Place of Birth]. That for reasons of [State Reason], it is necessary to change the name of the minor from [Minor's Old Name] to [Minor's New Name].

-A- Affiant ? The person who makes and swears to an affidavit. Affidavit ? A written statement confirmed by oath or affirmation for use as evidence in court.

Name Change Affidavit Format Sample That my name as per the records is ?????-(XYZ). 2. That I have changed my name as _________ on (date of change of name). 3.At present all the records have my new name _________.

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Medical Affidavit Sample For Name Change