My Name Address City, State, Zip Phone Email
In the
District
Justice Court of Utah
__________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Response to Request for Plaintiff/Petitioner Verification of Employment v. Case Number ___________________
_____________________________________ Judge _________________________ Defendant/Respondent Commissioner ___________________
Instructions to the presumed employer. You are required to respond within 10 days after receipt of the Request for Verification of Employment.
Yes, I currently employ the person identified in the Request as the judgment debtor. No, I do not employ the person identified in the Request as the judgment debtor. I declare under criminal penalty of Utah Code Section 78B-5-705 that this Response to Request for Verification of Employment is true and correct.
Date Sign here Typed or printed name
Response to 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 Response to 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 (Judgment Creditor or Attorney)
or in receptacle for deliveries.)
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.)
(Judgment Debtor or Attorney)
Left at home (With person of suitable age
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
Response to Request for Verification of Employment
Approved Board of District Court Judges October 17, 2008
Page 2 of 2