Request For Verification Of Employment Form printable pdf download

Request For Verification Of Employment Form

My Name

Address

City, State, Zip

Phone

I am the [ ] Plaintiff/Petitioner

[ ] Defendant/Respondent

[ ] Attorney for the [ ] Plaintiff/Petitioner [ ] Defendant/Respondent and my

Utah Bar number is _______

In the [ ] District [ ] Justice Court of Utah

__________ Judicial District ________________ County

Court Address ______________________________________________________

_____________________________________

Request for Verification of

Plaintiff/Petitioner

Employment

Case Number ___________________

_____________________________________

Judge _________________________

Defendant/Respondent

Commissioner ___________________

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?

Request for Verification of Employment

Approved Board of District Court Judges October 17, 2008

Page 1 of 2

Revised April 6, 2015

Request For Verification Of Employment Form