Free Certificate of Service - Utah

My Name Address City, State, Zip Phone E-mail I am the Plaintiff/Petitioner Defendant/Respondent Attorney for the Plaintiff/Petitioner Utah Bar number is __________

Defendant/Respondent and my

In the

District Court

Justice Court of Utah

__________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Certificate of Service
Plaintiff/Petitioner

Case Number ___________________ v. Judge _________________________ _____________________________________
Defendant/Respondent

Commissioner ___________________

I certify that I served a copy of ________________________________ (document name) on the following people. I declare under criminal penalty of Utah Code Section 78B-5705 that this Certificate of Service is true and correct. Served on this Date

Person's Name

Method of Service
Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge

Served at this Address

(Other Party or Attorney)

or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)

(Clerk of Court)
Certificate of Service

Mail Hand Delivery Electronic File
Approved Board of District Court Judges May 21, 2008 Page 1 of 2

Person's Name

Method of Service
Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge
or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)

Served at this Address

Served on this Date

Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge
or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.)

Date

Sign here Typed or printed name

Certificate of Service

Approved Board of District Court Judges May 21, 2008

Page 2 of 2