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Here is the text we could read:

 am the 

[  ]  Defendant 
[  ]  Attorney for the Defendant and my Utah Bar number is _________ 

In the Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________ 
Plaintiff 

_____________________________________ 
Defendant 

I say as follows: 

Notice of Removal from District 
Court 

_______________________________ 
Case Number 

_______________________________ 
Judge 

(1) 

The plaintiff agrees to have this case tried in this court as a small claims case. 

(2) 

This court has jurisdiction of this case because: (Choose all that apply.) 

[  ] 

[  ] 

I reside in the jurisdiction of this court. 

The events in this case happened in the jurisdiction of this court. 

(3) 

I am notifying the court that this case is being removed to this court from the 
______________________________________ (name of court) district court. 

Notice of Removal from District Court 

Approved Board of Justice Court Judges May 13, 2011 
Revisions Approved by Supreme Court July 18, 2016 

Page 1 of 2 

v. 

 

ity, State, Zip 

ame 

ddress 

hone 

mail 

  N

  A

  C

  P

  E

  I

 

y removing this case to justice court, I agree to using the simplified rules of 

procedure and evidence and waive my right to a jury trial in that court. 

 have not included any non-public information in this document. 

I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true. 

 

 

Sign here ► 

Defendant or Attorney 

Sign here ► 

Plaintiff or Attorney 

 

 

 

 

Notice of Removal from District Court 

Approved Board of Justice Court Judges May 13, 2011 
Revisions Approved by Supreme Court July 18, 2016 

Page 2 of 2 

  B

  I

Date 

Date

Notice of Removal from District Court

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 2
Fields(s): 65
Average fields per page: 32
Reading Level: Grade 7
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

users1_name was name (1.00 conf)
users1_address_line_one was address (1.00 conf)
city_state_zip was city__state__zip (0.35 conf)
users1_phone_number was phone (1.00 conf)
email was email (0.38 conf)
attorney_defendant_utah_number was attorney_for_the_defendant_and_my_utah_bar_number_is (0.44 conf)
page_field__1 was page_0_field_6 (0.31 conf)
i_am_the was i_am_the (0.39 conf)
justice_court_utah was in_the_justice_court_of_utah (0.43 conf)
page_field__2 was page_0_field_9 (0.31 conf)
judicial_district was judicial_district (0.38 conf)
page_field__3 was page_0_field_11 (0.31 conf)
court_address was court_address (0.42 conf)
notice_removal_district was notice_of_removal_from_district (0.34 conf)
county was county (0.39 conf)
page_field__4 was page_0_field_15 (0.31 conf)
page_field__5 was page_0_field_16 (0.31 conf)
page_field__6 was page_0_field_17 (0.31 conf)
page_field__7 was page_0_field_18 (0.31 conf)
page_field__8 was page_0_field_19 (0.31 conf)
page_field__9 was page_0_field_20 (0.31 conf)
page_field__10 was page_0_field_21 (0.31 conf)
page_field__11 was page_0_field_22 (0.31 conf)
court was court (0.45 conf)
page_field__12 was page_0_field_24 (0.31 conf)
page_field__13 was page_0_field_25 (0.31 conf)
page_field__14 was page_0_field_26 (0.31 conf)
plaintiff was plaintiff (1.00 conf)
page_field__15 was page_0_field_28 (0.31 conf)
page_field__16 was page_0_field_29 (0.31 conf)
page_field__17 was page_0_field_30 (0.31 conf)
page_field__18 was page_0_field_31 (0.31 conf)
docket_number was case_number (1.00 conf)
page_field__19 was page_0_field_33 (0.31 conf)
page_field__20 was page_0_field_34 (0.31 conf)
page_field__21 was page_0_field_35 (0.31 conf)
page_field__22 was page_0_field_36 (0.31 conf)
page_field__23 was page_0_field_37 (0.37 conf)
judge was judge (0.39 conf)
page_field__24 was page_0_field_39 (0.37 conf)
page_field__25 was page_0_field_40 (0.31 conf)
page_field__26 was page_0_field_41 (0.37 conf)
say_follows was i_say_as_follows (0.39 conf)
page_field__27 was page_0_field_43 (0.37 conf)
defendant was defendant (1.00 conf)
page_field__28 was page_0_field_45 (0.31 conf)
name_court_district was name_of_court__district_court (0.50 conf)
page_field__29 was page_0_field_47 (0.37 conf)
approved_justice_judges_may was approved_board_of_justice_court_judges_may_13__2011 (0.43 conf)
notice_removal_court was notice_of_removal_from_district_court (0.36 conf)
page_field__30 was page_0_field_50 (0.31 conf)
case_jurisdiction_court was the_events_in_this_case_happened_in_the_jurisdiction_of_this_court (0.39 conf)
notifying_court_case_removed was i_am_notifying_the_court_that_this_case_is_being_removed_to_this_court_from_the (0.44 conf)
page__1 was page_1_of_2 (0.42 conf)
page_check__1 was page_0_check_0 (0.34 conf)
page_check__2 was page_0_check_1 (0.33 conf)
af_f was AFF056 (0.51 conf)
page_check__3 was page_0_check_3 (0.33 conf)
declare_stated_document_true was i_declare_under_penalty_of_utah_code_section_78b_5_705_that_everything_stated_in_this_document_is_true (0.38 conf)
signature_date was date (1.00 conf)
users1_signature was sign_here (1.00 conf)
page_field__31 was page_1_field_3 (0.36 conf)
page_field__32 was page_1_field_4 (0.36 conf)
page_field__33 was page_1_field_5 (0.36 conf)
page__2 was page_2_of_2 (0.42 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Notice of Removal from District Court

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02