Apply for discounted Child Deed Poll

To change your child’s name, simply complete and submit the application form below. Payment will then be taken via credit or debit card. You should only submit this application form if you are eligible for our discounted rate.

If you need assistance completing this form please call our helpline on 0800 783 3048.

Section 1

* Denotes a mandatory field

Delivery details

This is the name and address we will put on the envelope when we post your Deed Poll to you. All Deed Polls are posted within one working day via first class mail. There is no charge for this delivery service.

Full name:

Address 1:

Address 2:

Postcode:

Any additional information:

Section 2

Details of the person making the application on behalf of the child

In most instances this is the mother or father but it can be anyone with parental responsibility for the child. This persons details will appear on the child’s Deed Poll.

Current title:

Relationship to child:

Current forenames:

First name and any middle names.

Current surname:

Date of Birth:

Address:

This should be your permanent residential address. You only need to complete this if it is different to the delivery address you provided in Section 1.

Postcode:

Any additional information:

Section 3

Contact details of the person making the application on behalf of the child

Please fill in your contact information below in case we have a query about your order.

E-mail address:

If you would prefer not to be contacted by telephone you can choose to leave the spaces below blank..

Telephone number.:

Name you are known by at this number:

Best time to call:

Section 4

Personal details of the child

If the child is not under 16 then they must apply for an Adult Deed Poll.

Sex:

Current forenames:

Current surname:

Date of Birth:

New forenames:

If there is no change enter current forenames.

New surname:

If there is no change enter current surname.

Section 5

Parental responsibility

For additional information on this topic see our page on Parental Responsibility.


	I have sole parental responsibility for this child.
	I have joint parental responsibility for this child and all persons with parental responsibility have given consent to this child’s change of name by Deed Poll.
	I have joint parental responsibility for this child but I have not gained consent from all those with parental responsibility as their whereabouts is unknown.

Section 6

How are you eligible for the discounted rate?

You could be eligible for the discounted rate if you or a member of your household is a previous Deed Poll client or if you are receiving a qualifying benefit. If you are unsure if you qualify please read the page Clients qualifying for the Discounted Rate before submitting your application.

I am eligible as I (or a member of my household) is a previous Deed Poll client: Yes/No
If yes please give us the details of any previous Deed Poll applied for so we can find it on our system.

Full former name:

Full new name:

House number

Postcode:

Month and Year Deed Poll was ordered:

If you are unsure provide your best estimate.

Any comments or additional information:

I am eligible as I receive a qualifying benefit: Yes/No

If yes please select one of the following benefits you are receiving in the drop down box.

If you apply for our discounted rate based on a qualifying benefit we require you to send us a photocopy of recent written evidence of your benefit entitlement once you have submitted your application. We will not post your Deed Poll pack until we have received such evidence. Documentation of your entitlement should be sent to:

UK Deed Poll
9 Three Cliffs
Swansea
SA3 2BN

Section 7

Payment

Payment can be made by credit or debit card click the payment button below to make payment through WorldPay’s secure server.

Please check over your details carefully before submitting your application.