Cover Sheet For Civil Actions
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2Cover Sheet for Civil Actions
Interpretation. If you do not speak or understand English,
Interpretación. Si usted no habla o entiende el Inglés
contact the court at least 3 days before the hearing or
contacte al tribunal por lo menos 3 días antes de la audiencia
mediation, and an interpreter will be provided.
o mediación y le proveerán un intérprete.
Plaintiff/Petitioner (First)
Defendant/Respondent (First)
Name
Name
Address
Address
City, State, Zip
City, State, Zip
Phone
Email
Phone
Email
First Plaintiff/Petitioner’s Attorney*
First Defendant/Respondent’s Attorney*
Name
Name
Bar Number
Bar Number
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Plaintiff/Petitioner (Second)
Defendant/Respondent (Second)
Name
Name
Address
Address
City, State, Zip
City, State, Zip
Phone
Email
Phone
Email
Second Plaintiff/Petitioner’s Attorney*
Second Defendant/Respondent’s Attorney*
Name
Name
Bar Number
Bar Number
*Attorney mailing and email addresses provided by Utah State Bar.
Total Claim for Damages $_______________ Jury Demand
Yes
No
$250
Jury Demand
Schedule of Fees: §78a-2-301
(Choose all that apply. See Page 2 for fees for claims other than claims for damages.)
$180 Damages $10,000 & over
PLEASE CHOOSE ONE:
No monetary damages are requested
— — COMPLAINT OR INTERPLEADER — —
(URCP 26: Tier 2)
$75 Damages $2000 or less
Damages requested are $50,000 or less
$185 Damages $2001 - $9999
(URCP 26: Tier 1)
Damages requested are more than $50,000
$360 Damages $10,000 & over
and less than $300,000 (URCP 26: Tier 2)
$360 Damages Unspecified
Damages requested are $300,000 or more
(URCP 26: Tier 3)
— — COUNTERCLAIM, CROSS CLAIM, THIRD
Damages are unspecified.
PARTY CLAIM, OR INTERVENTION — —
$55 Damages $2000 or less
Circle one: Tier 1
Tier 2
Tier 3
This case is exempt from URCP 26.
(E)
$150 Damages $2001 - $9999
$155 Damages $10,000 & over
— — MOTION TO RENEW JUDGMENT — —
$37.50 Damages $2000 or less
$92.50 Damages $2001 - $9,999
Civil Cover Sheet
Revised June 27, 2016
Page 1
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