My Name
Address
City, State, Zip
Phone
Email
In the District Court of Utah, ________________ County
Court Address ______________________________________________________
Proof of Service under URCP 4
_____________________________________
_______________________________
Plaintiff/Petitioner
Case Number
_______________________________
v.
Judge
_______________________________
_____________________________________
Commissioner
Defendant/Respondent
Instructions:
Use this document to show the date, place, and manner in which documents were served under Rule
of Civil Procedure 4. Rule 4 requires service by mail OR by personal service (not both).
Complete Paragraph (1).
Then complete either Paragraph (2) OR Paragraphs (3) and (4).
(1)
The following documents were served by the method described below:
(Choose all
that apply.)
[ ] Summons
[ ] Complaint or Petition
[ ] Amended Complaint or Petition
[ ] Notice of Mandatory Divorce Education
[ ] Order to Show Cause
[ ] Other: ______________________________________________
(describe)
[ ] Other: ______________________________________________
(describe)
Proof of Service
Approved Board of District Court Judges April 17, 2009
Page 1 of 4
Revised April 15, 2015