My Name Address City, State, Zip Phone Email I am the Plaintiff/Petitioner Defendant/Respondent Attorney for the Plaintiff/Petitioner Utah Bar number is _______ In the District
Defendant/Respondent and my
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) (2) (3) To ___________________________________ (Name of presumed employer) This Request for Verification of Employment and the attached forms are being sent to you under Utah Code Section 78A-2-216. 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
Certificate of Service
I certify that I served a copy of this Request for Verification of Employment on the following people. Served at this Served on Person's Name Method of Service Address 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.)
(Other Party or Attorney)
Left at home (With person of suitable age
and discretion residing there.)
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 (Presumed Employer)
and discretion residing there.)
(Clerk of Court)
Mail Hand Delivery Electronic File 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
Request for Verification of Employment
Approved Board of District Court Judges October 17, 2008
Page 2 of 2