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F05021C, Report of Legal Name Change Confidential, April 1, 2012, HTML, English, No. Last revised May 15, 2023. Edit, sign, and share report of legal name change wisconsin form online.Form DHS F-5021C "2011 Act 274 Confidential Legal Name Change" required for changing WI birth certificates and other vital records. The State Vital Records Office only changes the name recorded on the marriage certificate of the person named in Part III if Part IV is completed. If you are requesting a confidential name change, you do not have to provide the Proof of Publication affidavit to the clerk. Forms, guides, laws, and other information for name change. For more information, see Step 2 of these instructions or contact your local court clerk. It is important that you understand that changing your name, especially confidentially, is a lifechanging decision. It is important that you understand that changing your name, especially confidentially, is a lifechanging decision.
