Here is the text we could read:
In the Juvenile Court of Utah
__________ Judicial District ________________ County
Court Address ______________________________________________________
State of Utah, in the interest of
_____________________________________
Last name, first name
Petition for Emancipation of a Minor
(Utah Code 80-7-103)
_______________________________
Case Number
_____________________________________
Date of birth
_______________________________
Judge
minor under 18 years of age, and
[ ] represented [ ] not represented.
My name is: ______________________________________________________.
My address is:
________________________________________________________________.
3.
I am at least 16 years old. My birthdate is: ______________________________.
4.
I am (choose one):
[ ] not enrolled in school.
[ ] enrolled in school. My school is:
1501JUF Approved August 9, 2021
Petition for Emancipation of a Minor
Page 1 of 3
A
1.
2.
Name
Address
City, State, Zip
Phone
Email
I am [ ] Plaintiff/Petitioner
[ ] Plaintiff/Petitioner’s Attorney
__________________________________________________________.
I am capable of living independently from my parents and financially supporting
myself.
[ ] I have been living apart from them since (date): __________________.
I am capable of managing my own financial affairs. I have completed and
attached my declaration of income and expenses.
I want to be emancipated because (explain):
I will be able to live independently from my parents, guardian or custodian
because (explain how you will be able to support yourself):
9.
My parents are:
a.
My parent’s name is: ____________________________________.
My parent’s address:
__________________________________________________________.
My parent’s email address and phone number is:
________________________________________.
b.
My other parent’s name is: ____________________________________.
My other parent’s address:
__________________________________________________________.
My other parent’s email address and phone number is:
________________________________________.
1501JUF Approved August 9, 2021
Petition for Emancipation of a Minor
Page 2 of 3
_
_
5.
6.
7.
8.
My guardian’s name is: _______________________________________.
My guardian’s address is:
__________________________________________________________.
My guardian’s email and phone number is:
__________________________________________________________.
11.
[ ] I have an open case with juvenile court. My case number is:
_______________________.
12.
[ ] I am in state custody. The state agency with custody is:
_______________________________________________________________.
declare under criminal penalty under the law of Utah that everything stated in this document is true.
Signed at ______________________________________________________ (city, and state or country).
Date
Signature ►
Printed Name
_
_
10. Guardian (choose one):
[ ] I do not have a guardian
[ ] I have a guardian.
1501JUF Approved August 9, 2021
Petition for Emancipation of a Minor
Page 3 of 3
I
Petition for Emancipation of a Minor
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): 3
- Fields(s): 48
- Average fields per page: 16
- Reading Level: Grade 8
- LIST Grouping(s):
GO-00-00-00-00.
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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)county
was county (0.39 conf)judicial_district
was judicial_district (0.38 conf)petition_emancipation_minor
was petition_for_emancipation_of_a_minor (0.39 conf)last_name_first
was last_name__first_name (0.42 conf)docket_number
was case_number (1.00 conf)judge
was judge (0.39 conf)users1_birthdate
was date_of_birth (1.00 conf)name
was my_name_is (0.33 conf)address
was my_address_is (0.46 conf)least_years_old_birthdate
was i_am_at_least_16_years_old__my_birthdate_is (0.44 conf)page__1
was page_1_of_3 (0.42 conf)plaintiff_petitioner_attorney
was plaintiff_petitioner_s_attorney (0.48 conf)page_check__1
was page_0_check_1 (0.33 conf)represented
was represented_not_represented (0.42 conf)page_check__2
was page_0_check_3 (0.33 conf)enrolled_school__1
was not_enrolled_in_school (0.36 conf)enrolled_school__2
was enrolled_in_school__my_school_is (0.36 conf)independently_financially_supporting
was i_am_capable_of_living_independently_from_my_parents_and_financially_supporting (0.34 conf)page_field
was page_1_field_1 (0.36 conf)want_emancipated_explain
was i_want_to_be_emancipated_because__explain (0.39 conf)explain_able_support
was because__explain_how_you_will_be_able_to_support_yourself (0.37 conf)parent_name__1
was my_parent_s_name_is (0.39 conf)parent_address__1
was my_parent_s_address (0.37 conf)email_address_phone_number__1
was my_parent_s_email_address_and_phone_number_is (0.37 conf)parent_name__2
was my_other_parent_s_name_is (0.41 conf)parent_address__2
was my_other_parent_s_address (0.37 conf)email_address_phone_number__2
was my_other_parent_s_email_address_and_phone_number_is (0.36 conf)page__2
was page_2_of_3 (0.42 conf)living_apart_since_date
was i_have_been_living_apart_from_them_since__date (0.29 conf)guardian_name
was my_guardian_s_name_is (0.35 conf)guardian_address
was my_guardian_s_address_is (0.37 conf)guardian_email_phone_number
was my_guardian_s_email_and_phone_number_is (0.35 conf)open_case_court_number
was i_have_an_open_case_with_juvenile_court__my_case_number_is (0.40 conf)state_custody_agency
was i_am_in_state_custody__the_state_agency_with_custody_is (0.58 conf)signed
was signed_at (0.36 conf)city_state_country
was city__and_state_or_country (0.47 conf)signature_date
was date (1.00 conf)users1_signature
was signature (1.00 conf)page__3
was page_3_of_3 (0.42 conf)guardian__1
was i_do_not_have_a_guardian (0.44 conf)guardian__2
was i_have_a_guardian (0.40 conf)page_check__3
was page_2_check_2 (0.26 conf)page_check__4
was page_2_check_3 (0.26 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
Suggested Screen 1:
Suggested Screen 2:
Suggested Screen 3:
Suggested Screen 4:
Suggested Screen 5:
page__1
page_check__1
page_check__2
enrolled_school__1
enrolled_school__2
page_field
page__2
page__3
page_check__3
page_check__4
Suggested Screen 6:
Suggested Screen 7:
address
independently_financially_supporting
explain_able_support
Suggested Screen 8:
users1_name
last_name_first
want_emancipated_explain
parent_name__1
parent_address__1
parent_name__2
parent_address__2
guardian__1
guardian__2
Suggested Screen 9:
name
guardian_name
guardian_address
Suggested Screen 10:
petition_emancipation_minor
plaintiff_petitioner_attorney
open_case_court_number
Suggested Screen 11:
Suggested Screen 12:
city_state_zip
living_apart_since_date
state_custody_agency
city_state_country
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