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Here is the text we could read:

 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the Matter of Protection for 

Acceptance of Appointment 

___________________________________, 
A minor 

_______________________________ 
Case Number 

_______________________________ 
Judge 

1. 

I accept the court’s appointment as: (Choose all that apply.) 

[  ]  guardian 
[  ]  conservator 

I submit to the jurisdiction of the court. 

Notice of any proceeding about the minor may be delivered to me personally or 
mailed to me at my address as listed in the court records or to my address as 
then known. 

I will keep the court informed of any change in my resident and mailing address. 

I will report to the court as required by law and follow all court orders. 

Acceptance of Appointment 

Approved Board of District Court Judges September 12, 2012 
Revised January 27, 2020 

Page 1 of 3 

ity, State, Zip 

 
Name 

ddress 

hone 

mail 

  A

  C

  P

  E

2. 

3. 

4. 

5. 

 

 

 declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Signature ► 

Printed Name 

 

 

  I

 
Date 

Acceptance of Appointment 

 

Approved Board of District Court Judges September 12, 2012 
Revised January 27, 2020 

Page 2 of 3 

 

 

 

Certificate of Service 

I certify that I filed with the court and served a copy of this Acceptance of Appointment on the following 
people. 

Person’s Name 

Method of Service 

Served at this 
Address 

Served on 
this Date 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  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.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  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.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  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.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  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.) 

 

 

 

 

Signature ► 

Printed Name 

 

 

(Petitioner or attorney) 

(Minor or attorney) 

(Interested person or 
attorney) 

(Interested person or 
attorney) 

 
Date 

 

 

 

 

Acceptance of Appointment 

Approved Board of District Court Judges September 12, 2012 
Revised January 27, 2020 

Page 3 of 3

Acceptance of Appointment

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): 78
Average fields per page: 26
Reading Level: Grade 9
LIST Grouping(s): Unknown

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__1 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)
page_field__1 was page_0_field_5 (0.31 conf)
district_court_utah was in_the_district_court_of_utah (0.34 conf)
judicial_district was judicial_district (0.38 conf)
page_field__2 was page_0_field_8 (0.31 conf)
court_address was court_address (0.42 conf)
acceptance_appointment was acceptance_of_appointment (0.32 conf)
county was county (0.39 conf)
page_field__3 was page_0_field_12 (0.31 conf)
page_field__4 was page_0_field_13 (0.31 conf)
page_field__5 was page_0_field_14 (0.31 conf)
page_field__6 was page_0_field_15 (0.31 conf)
page_field__7 was page_0_field_16 (0.31 conf)
page_field__8 was page_0_field_17 (0.31 conf)
page_field__9 was page_0_field_18 (0.31 conf)
page_field__10 was page_0_field_19 (0.31 conf)
page_field__11 was page_0_field_20 (0.31 conf)
page_field__12 was page_0_field_21 (0.31 conf)
docket_number was case_number (1.00 conf)
page_field__13 was page_0_field_23 (0.31 conf)
page_field__14 was page_0_field_24 (0.31 conf)
page_field__15 was page_0_field_25 (0.31 conf)
matter_protection was in_the_matter_of_protection_for (0.37 conf)
page_field__16 was page_0_field_27 (0.31 conf)
page_field__17 was page_0_field_28 (0.31 conf)
minor was a_minor (0.38 conf)
page_field__18 was page_0_field_30 (0.31 conf)
page_field__19 was page_0_field_31 (0.31 conf)
page_field__20 was page_0_field_32 (0.31 conf)
page_field__21 was page_0_field_33 (0.31 conf)
judge was judge (0.39 conf)
page_field__22 was page_0_field_35 (0.31 conf)
page__1 was page_1_of_3 (0.42 conf)
guardian was guardian (0.44 conf)
conservator was conservator (0.52 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature was signature (1.00 conf)
page_field__23 was page_1_field_2 (0.36 conf)
page_field__24 was page_1_field_3 (0.36 conf)
page_field__25 was page_1_field_4 (0.36 conf)
declare_criminal_stated was i_declare_under_criminal_penalty_under_the_law_of_utah_that_everything_stated_in_this_document_is_true (0.52 conf)
signed was signed_at (0.36 conf)
page_field__26 was page_1_field_7 (0.36 conf)
signature_date was date (1.00 conf)
users1_name__2 was printed_name (1.00 conf)
page__2 was page_2_of_3 (0.42 conf)
page_field__27 was page_2_field_0 (0.31 conf)
page_field__28 was page_2_field_1 (0.36 conf)
page_field__29 was page_2_field_2 (0.36 conf)
page__3 was page_3_of_3 (0.42 conf)
left_home_person_suitable was left_at_home__with_person_of_suitable (0.45 conf)
mail was mail (0.38 conf)
hand_delivery was hand_delivery (0.35 conf)
e_filed was e_filed (0.48 conf)
email_person_agreed_service was email__person_agreed_to_service_by_email (0.42 conf)
left_business_person_charge was left_at_business__with_person_in_charge (0.48 conf)
page_check__1 was page_2_check_6 (0.26 conf)
page_check__2 was page_2_check_7 (0.26 conf)
page_check__3 was page_2_check_8 (0.26 conf)
page_check__4 was page_2_check_9 (0.26 conf)
page_check__5 was page_2_check_10 (0.26 conf)
page_check__6 was page_2_check_11 (0.26 conf)
page_check__7 was page_2_check_12 (0.26 conf)
page_check__8 was page_2_check_13 (0.26 conf)
page_check__9 was page_2_check_14 (0.26 conf)
page_check__10 was page_2_check_15 (0.26 conf)
page_check__11 was page_2_check_16 (0.26 conf)
page_check__12 was page_2_check_17 (0.26 conf)
page_check__13 was page_2_check_18 (0.26 conf)
page_check__14 was page_2_check_19 (0.26 conf)
page_check__15 was page_2_check_20 (0.26 conf)
page_check__16 was page_2_check_21 (0.26 conf)
page_check__17 was page_2_check_22 (0.26 conf)
page_check__18 was page_2_check_23 (0.26 conf)

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

Acceptance of Appointment

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