Small Claims Request For Verification Of Employment - Salt Lake City Justice Court Page 2
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4SALT LAKE CITY JUSTICE COURT
333 SOUTH 200 EAST, PO BOX 145499, SALT LAKE CITY, UT 84111-5499
Phone (801)535-6301 / Fax (801)535-6302 /
Name__________________________________________,Plaintiff )
Street Address__________________________________________ )
SMALL CLAIMS
City, State, ZIP_________________________________________ )
REQUEST FOR VERIFICATION
vs.
)
OF EMPLOYMENT
Name________________________________________,Defendant )
Street Address__________________________________________ )
Case No.______________________
City, State, ZIP_________________________________________ )
Instructions to the judgment creditor: You must attach the following records and forms.
Copy of the judgment
Copy of the Judgment Information Statement
Response to Request for Verification of Employment Form
(1)
To ________________________________________________ (Name of presumed employer)
(2)
This Request for Verification of Employment and the attached forms are being sent to you under Utah Code Section
78A-2-216.
(3)
Do you currently employ the judgment debtor?
(Answer by filling out the response to request for verification of employment form)
Certificate of Service
I certify that I served a copy of this Small Claims Request for Verification of Employment on the following people.
Served on
Print Person’s Name
Method of Service
Served at this Address
this Date
Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
(Other Party or
Left at business
(With person in charge or in receptacle for deliveries.)
Attorney)
Left at home
(With person of suitable age and discretion residing there.)
Mail
Hand Delivery
333 S 200 E
Salt Lake City Justice
Electronic File
SLC UT 84111
Court (Clerk of Court)
Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
Left at business
(With person in charge or in receptacle for deliveries.)
Left at home
(With person of suitable age and discretion residing there.)
Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
Left at business
(With person in charge or in receptacle for deliveries.)
Left at home
(With person of suitable age and discretion residing there.)
Sign here ►
Date:
Typed or Printed
Name
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