Utah Civil Cover Sheet Form
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COVER SHEET FOR CIVIL FILING ACTIONS

- Page 1

Party Identification (Attach additional sheets as necessary)
PLAINTIFF/PETITIONER
ATTY FOR PLAINTIFF/PETITIONER
Name
Name
Address
Address

PLAINTIFF/PETITIONER
Name
Address

ATTY FOR PLAINTIFF/PETITIONER
Name
Address

DEFENDANT/RESPONDENT
Name
Address

ATTY FOR DEFENDANT/RESPONDENT
Name
Address

DEFENDANT/RESPONDENT
Name
Address

ATTY FOR DEFENDANT/RESPONDENT
Name
Address

TOTAL CLAIM FOR DAMAGES
$____________________

JURY DEMAND

q Yes

q No

SCHEDULE OF FEES: §78-7-35. CHECK ANY THAT APPLY.
(See Case Types for Filing Fees for Complaints other than Claim for Damages.)

---- COMPLAINT FOR DAMAGES ----$50 q Civil or Interpleader: $2000 or less
$95 q Civil or Interpleader: $2001 $9999
$155 q Civil or Interpleader: $10,000 and
over
$155 q Civil Unspecified

---------- SMALL CLAIMS --------$45 q Small Claims: $2000 or less
$70 q Small Claims: $2001-$7500
---------- MISCELLANEOUS --------$75 q Jury Demand
$2 q Vital Statistics §26-2-25
per fo