This is a private record.
My Name
Address
City, State, Zip
Phone
Email
I am the [ ] Petitioner
[ ] Respondent
[ ] Attorney for the [ ] Petitioner [ ] Respondent and my Utah Bar number is
__________
In the District Court of Utah
__________ Judicial District ________________ County
Court Address ______________________________________________________
Statement Supporting Motion for
Temporary Order
_______________________________
_____________________________________
Case Number
Petitioner
_______________________________
v.
Judge
_______________________________
_____________________________________
Commissioner
Respondent
Instructions:
•
You must complete this form before you file it. The judicial services representative cannot
complete this form for you. Use the Checklist to help you understand and complete this form.
•
Keep a copy of all documents for your records.
•
Attend all court hearings.
•
Attach:
Additional pages as needed to complete paragraphs that don’t have enough space. Write the
o
paragraph number on the additional page.
Any documents referred to in this document.
o
Non-Public Information Form, more fully describing any non-public information referred to in
o
this document.
Statement Supporting Motion for Temporary Order
Approved Board of District Court Judges September 10, 2008
Page 1 of 5
Revised May 21, 2014