Small Claims Request For Verification Of Employment - Salt Lake City Justice Court Page 4
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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__________________________________________ )
City, State, ZIP_________________________________________ )
SMALL CLAIMS
vs.
)
RESPONSE TO REQUEST
)
FOR VERIFICATION
Name________________________________________,Defendant )
OF EMPLOYMENT
Street Address__________________________________________ )
Case No.______________________
City, State, ZIP_________________________________________ )
Instructions to the presumed employer:
You are required to respond within 10 days after receipt of the Request for Verification of Employment, to the court
and all parties involved in the case. If you need further information about the defendant, please contact the plaintiff.
Employer Name:______________________________________________________(name of business)
Yes, I currently employ the person identified in the Request as the judgment debtor.
No, I do not employ the person identified in the Request as the judgment debtor.
I declare under criminal penalty of Utah Code Section 78B-5-705 that this Response to Request for Verification of
Employment is true and correct.
Sign here ►
Date:
Typed or printed name
Certificate of Service
I certify that I served a copy of this Small Claims Response to Request for Verification of Employment on the following people.
Served on this
Print Person’s Name
Method of Service
Served at this Address
Date
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.)
(Other Party or
Left at home
(With person of suitable age and discretion residing there.)
Attorney)
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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