Ronald B. Gordon, Jr. 
State Court Administrator 
Catherine J. Dupont 
Deputy Court Administrator 

hief Justice Matthew B. Durrant 

Utah Supreme Court 
Chair, Utah Judicial Council 

 

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Court Interpreter Program 
 
FORMAL COMPLAINT FORM 
 
The complaint procedure applies only to interpreters who are listed on active status 
on the Utah Court Interpreter Roster maintained by the State Court Interpreter Program. 
 
Complainant’s Name: _______________________________________________________ 

ddress: __________________________________________________________________ 

ity: _____________________________State: _____________________Zip:__________ 

hone: ___________________________ Email: __________________________________ 

omplaint Against: _________________________________________________________ 

 

 

 

 

 

Interpreter’s Name (please print) 

Please provide the information requested below.  Attach additional pages if necessary. 

STATEMENT OF FACTS 

.  Date and location of the alleged violation. 

The mission of the Utah judiciary is to provide the people an open, fair, 

efficient, and independent system for the advancement of justice under the law. 
 

450 South State Street / P.O. Box 140241 / Salt Lake City, Utah 84114-0241  

(Continue on the following page) 

.  If the incident took place while the interpreter was engaged in a court proceeding, 

please provide the following information (if not, skip 2a): 

a.  Case name and number:_____________________________________________ 

b.  Your connection to the case or incident in question (e.g. party, victim, attorney, 

other interpreter, clerk, judge, etc.): 

_____________________________________________________________________ 

   

 

 

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c.  Identify witnesses to the interpreter’s action (name, connection to the case, contact 

information such as phone or email): 

 

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________ 

d.  Identify any other person(s) who may have additional information: 

_____________________________________________________________________

_____________________________________________________________________ 

3.  Please describe with as much detail as possible the interpreter’s action(s) that may 

be in violation of the Code of Professional Responsibility for Court Interpreter’s or 
Rule 3-306.01-05 of the Utah Code of Judicial Administration: 

 

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________ 

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________ 

have one: 

   

4.  List any documents that help support your information and attach a copy if you 

I understand that the information provided in this document may be shared with any of the 
parties involved during the course of an investigation and that the matter will be handled in 
accordance with rule 3-306.05 of the Utah Code of Judicial Administration. 

nder penalty of perjury, I swear and affirm that the statements and information provided in 

this and any attached document are true and correct to the best of my knowledge. 

ignature: ______________________________________ Date: ______________________ 

lease submit this form with attachments to: 

ara J. Mann 

Administrative Office of the Courts 
P.O. Box 140241 
Salt Lake City, UT  84114-0241 
FAX: 801-578-3843 
Email: karajm@utcourts.gov 

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