Request For Verification Of Employment Form

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My Name
Address
City, State, Zip
Phone
Email
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
v.
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

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