Sample Letter No:1
 For Consent of Child Aged 16 or 17

 

 

 

(Child's Home Address Here)

 

Date

To whom it may concern

Dear Sir/Madam

I the undersigned, being (insert child's age here) years of age, consent to my name being changed from (insert child's full name here) to (insert new child's full name here)

Yours faithfully,

Child's signature
Child's full name

 

 

Sample Letter No:2
 For Joint Parental Responsibility

 

 

 

(Home Address Here)

 

Date:

To whom it may Concern.

Dear Sir/Madam,

We the undersigned, having parental responsibility for (Insert Child or children full name here) consent to (His/Her Name or Their Names) being changed to (Insert New full Name or Names here)

 

Yours faithfully,

Mother's signature
Mother's full name

Father's signature
Father's full name
 

 

 

Sample Letter No:3
 For Single Parental Responsibility

 

 

 

                                           (Home Address Here)

Date:

To whom it may Concern.

Dear Sir/Madam,

I the undersigned, having sole parental responsibility for (insert child's or children's current full name or Names here)  consent to (His/Her Name or Names) being changed to (Insert new full name or Names here).

If you live in England or Wales this paragraph will need to be added, if for births registered before 1 December 2003
I confirm that I was not married to my (child's or children's) father at birth and no other person has acquired parental responsibility by agreement or by court order.

If you live in England or Wales this paragraph will need to be added, if for births registered on or after 1 December 2003
I confirm that I was not married to my (child's or children's) father at birth and no other person has acquired parental responsibility by agreement or by court order. I also confirm that the father is not recorded on my (child's or children's) birth certificate.

If you live in Scotland this paragraph will need to be added.
I confirm that I was not married to my (child's or children's) father at the time of conception and no other person has acquired parental responsibility by agreement or by court order.

If you live in Northern Ireland this paragraph will need to be added, if for births registered before 15 April 2002
I confirm that I was not married to my (child's or children's) father at birth and no other person has acquired parental responsibility by agreement or by court order.

If you live in Northern Ireland will need to be added, if for births registered on or after 15 April 2002
I confirm that I was not married to my (child's or children's) father at birth and the father is not recorded on the birth certificate. I also confirm that no other person has acquired parental responsibility by agreement or by court order.

 

Yours faithfully,

 

Mother's signature
Mother's full name

 

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