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Republic of Latvia

Cabinet
Regulation No. 183
Adopted 22 March 2022

Regulations Regarding the Sample Submission Form for the Change of the Given Name, Surname and Nationality Record

Issued pursuant to
Section 4, Paragraph six of the Law
on the Change of a Given Name, Surname
and Nationality Record

1. The Regulation prescribes the sample submission form for the change of the given name, surname and nationality record.

2. The sample submission form for the change of the given name, surname and nationality record is determined in the Annex to this Regulation.

3. Cabinet Regulation No. 1079 of 22 September 2009, Regulations Regarding the Sample Submission Forms for the Change of the Given Name, Surname and Nationality Record, (Latvijas Vēstnesis, 2009, No. 154; 2011, No. 9; 2014, No. 195), is repealed.

Prime Minister A. K. Kariņš

Deputy Prime Minister,
Minister for Justice J. Bordāns

Annex
Cabinet Regulation No. 183
22 March 2022

Sample Submission Form for the Change of the Given Name, Surname and Nationality Record


	(name of the institution to which the submission is addressed)

Submission for the Change of the Given Name, Surname or Nationality Record

(underline as appropriate)

I. Data of the person who wishes to change the given name, surname or nationality record

1.	Given name
2.	Surname
3.	Personal identity number
4.	Telephone number for communication
5.	Preferred type of correspondence (mark as appropriate):
5.1.	postal address
5.2.	official electronic address (indicate if such has been activated)
5.3.	electronic mail address

II. Submission for (fill in as appropriate):

1.	Change of the given name
	From
	To
2.	Change of the surname
	From
	To
3.	Change of the nationality record
	From
	To
Reason for the change (underline as appropriate)
Reasons for the change of the given name or surname: 1) the given name or surname encumbers the integration of the person in society; 2) the person wishes to add a second name to the name recorded in the Birth Register. The name that has been entered in the Register first shall be considered the primary name; 3) the person wishes to acquire or add the surname of the spouse to his or her surname; 4) the person wishes to acquire his or her historic family name in the direct ascending line; 5) the person wishes to regain his or her family name or premarital surname; 6) the gender of the person has changed; 7) one of the parents or both parents of a minor have been convicted of committing a deliberate, serious or especially serious crime; 8) the person wishes to acquire the surname of the mother or father.		Reasons for the change of the nationality record: 1) the person wishes to change the nationality record to the nationality of his or her direct ascending line within the limits of two generations; 2) the person who stays in Latvia with a valid residence permit, registration certificate or a permanent residence card wishes to change the nationality record to "Latvian" or "Livonian (Liv)".

III. Upon consent of both parents, also the surname of the minor child shall be changed concurrently with the change of the surname of the parent (underline as appropriate):

Yes

(provide information on the minor children whose surname is changed)

No.	Given name	Surname
1.
2.
3.
Add the required number of columns

IV. Data on the parent or guardian (to be completed if the given name or surname is changed for the person who has not attained 15 years of age and if one or both of the parents have been convicted of committing a deliberate, serious or especially serious crime)

1.	Given name
2.	Surname
3.	Telephone number for communication
4.	Preferred type of correspondence (mark as appropriate):
4.1.	postal address
4.2.	official electronic address (indicate if such has been activated)
4.3.	electronic mail address

V. Information on the person whose surname or nationality he or she wishes to acquire (to be completed if the person wishes to acquire his or her historic family name or nationality in the direct ascending line)

1.	Given name
2.	Surname
3.	Kinship (for example, father's mother, mother of the father's mother)

VI. Payment number of the State fee and the date of payment


(date)		(signature of the submitter)

Document information

Title: Status:

in force Issuer: Cabinet of Ministers Type: Document number: 183Adoption: 22.03.2022.Entry into force: Publication: Latvijas Vēstnesis, 59, 24.03.2022. OP number:

Language:

Pieņemts		Stājas spēkā		Dokumenta Nr.
	līdz		līdz

Publicēts LV		Zaudējis spēku		Redakcija uz
	līdz		līdz

Izdevējs		Veids