This is a private record.
City, State, Zip
I am the
Attorney for the
Respondent and my Utah Bar number is
In the District Court of Utah
__________ Judicial District ________________ County
Court Address ______________________________________________________
You must complete this form before you file it. The judicial services representative cannot
complete this form for you. Use the Checklist to help you understand and complete this form.
Approved Board of District Court Judges September 16, 2009
Revised April 1, 2012
Page 1 of 22
Keep a copy of all documents for your records.
Attend all court hearings.