City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email 

 

This motion will be decided by the court 
commissioner at an upcoming hearing. If 
you do not appear at the hearing, the 
Court might make a decision against you 
without your input. In addition, you may 
file a written response at least 14 days 
before the hearing. 

 
 
 
 
 
 
 
Check your email. You will receive information and 
documents at this email address.  

I am   [  ]  Petitioner 

[  ]  Respondent 
[  ]  Respondent’s Attorney   

[  ]  Intervenor 

[  ]  Petitioner’s Attorney 
[  ]  Intervenor's Attorney   
[  ]  Petitioner’s Licensed Paralegal Practitioner 
[  ]  Intervenor’s Licensed Paralegal Practitioner   

(Utah Bar #:__________) 
[  ]  Respondent’s Licensed Paralegal Practitioner 
(Utah Bar #:__________) 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the Matter of (select one) 
 

[  ]  the Marriage of (for a divorce with or without 
children, annulment, separate maintenance, or 
temporary separation case) 

[  ]  the Children of (to establish custody, parent-

time or child support) 

[  ]  the Parentage of the Children of (for a 

paternity case) 

Motion for Temporary Order Due to 
Deployment - Commissioner 
(Utah Code 78B-20-301 through 311) 

[  ]  Expedited Hearing Requested 

_______________________________ 
Case Number 

____________________________________ 
(name of Petitioner) 

_______________________________ 
Judge 

and  

 

____________________________________ 
(name of Respondent) 
____________________________________________ 
Other parties (if any) 

_______________________________ 
Commissioner 

1. 

I am (Choose one.): 

[  ] petitioner      

 

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 1 of 10 

[  ] respondent 

[  ]  intervenor 

[  ] petitioner      

[  ] respondent 

2. 

I ask for a temporary order due to deployment because the following people have 
received notice of deployment: (Choose all that apply.): 

3. 

[  ] 

I ask for an expedited hearing because one or both parents have not yet 
been deployed. (Utah Code 78B-20-303). 

4. 

[  ] 

I ask for a temporary order consistent with the attached Military Parenting 
Plan. 

5. 

[  ]    Only one party is a servicemember. While they are deployed, caretaking 

authority of the parties’ children is given to (Choose all that apply.):  

[  ]  the parent who is not deployed. 

[  ]  the deployed parent will keep some caretaking authority. 

[  ]  __________________________________________________ (Name.)   

[  ]   Both parties are servicemembers.  

If petitioner is deployed, caretaking authority of the parties’ children is given 
to (Choose all that apply.):  

[  ]  the parent who is not deployed. 

[  ]  the deployed parent will keep some caretaking authority. 

[  ]  __________________________________________________ (Name.)   

If respondent is deployed, caretaking authority of the parties’ children is 
given to (Choose all that apply.):  

[  ]  the parent who is not deployed. 

[  ]  the deployed parent will keep some caretaking authority. 

[  ]  __________________________________________________ (Name.)   

If both parties are deployed, caretaking authority of the parties’ children is 
given to (Choose all that apply.):  

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 2 of 10 

 

6. 

The people given caretaking authority above will have decision-making authority 
to: 

•  Make day-to-day decisions for the children during the time they are caring 

for the children.  

•  Make emergency decisions affecting the health or safety of the children. A 

parent who makes an emergency decision must share the decision with the 
other people who have caretaking authority as soon as reasonably possible. 

(Choose one.) 

[  ]    Joint decision-making.  

The people given caretaking authority above will share responsibility for 
making major decisions about the children. If there is a disagreement, the 
people given caretaking authority will resolve the dispute as provided in the 
resolving disputes section below. 

Other details about joint decision-making: 

[  ]    Specified decision-making.      

The following people given caretaking authority will make decisions about: 

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

eligious upbringing 

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

xtracurricular activities 

[  ]  __________________________________________________ (Name.)   

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 3 of 10 

 

Education 

ealth care 

 

  H

  R

  E

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

[  ]  __________________________________________________ (Name.)   

ravel 

ther: 

  T

  O

 

7. 

Visitation for nonparents 

The nonparents listed below will have visitation with the children as follows: 

Full name of person 

Schedule 

 

 

 

 

8. 

Resolving disputes 

If the people given caretaking authority need to resolve a dispute about the 
children, they will discuss the issues in good faith and try to reach an agreement 
based on what is best for the children. 

If the people given caretaking authority are unable to agree, they will participate 
in the following before bringing the issue to the court (Choose all that apply.): 

Other agreements about resolving disputes: 

[  ]  mediation 

arbitration 

counseling 

[  ] 

[  ] 

[  ] 

 

     

9. 

Contact with the deployed parent 

There will be contact with the children and the deployed parent.   

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 4 of 10 

 

___________________________________________________________ (Name) 
will arrange for the contact. Contact will be as follows: 

10.  Contact when deployed parent is on leave or is otherwise available 

When the deployed parent is on leave or is otherwise available, contact with the 
children will be as follows: 

Frequency 
(For example, daily, weekly) 

Duration 
(For example, 20 minutes, 1 hour) 

Method 
(For example, email, Skype) 

 

 

 

11.  Child support modification 

   

 

I ask the court to modify the existing child support order based on the parties’ 
incomes or estimate of income based on ability or work history.   
(Note: Both parties are required to submit income verification to the court prior to the hearing.) 

a.  Petitioner’s total countable gross monthly income for child support purposes 

is $______________ (Utah Code 78B-12-203).  

 

This income is from these sources: 
___________________________________________________________ 

__________________________________________________________. 

[  ]  The court should consider petitioner's income to be $______________ 

based on (Choose one.): 

[  ] minimum wage. 

[  ] historical earnings. 

 

 

 

 

[  ]  Petitioner does receive or has received public assistance. 

b.  Respondent’s total countable gross monthly income for child support 

purposes is $________________ (Utah Code 78B-12-203).  

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 5 of 10 

 

 

This income is from these sources: 
___________________________________________________________ 

__________________________________________________________. 

[  ]  The court should consider respondent's income to be  

$______________ based on (Choose one.): 

 

 

[  ] minimum wage. 

[  ] historical earnings. 

 

 

[  ]  Respondent does receive or has received public assistance. 

c.  Order  [  ] petitioner   [  ] respondent to pay $________________ per month 
for child support to ________________________(name). The following child 
support worksheet is filed or attached (Choose one.):  

[  ]  sole physical custody worksheet 

[  ]  joint physical custody worksheet 

[  ]  split custody worksheet 

(Choose one.) 

Code 78B-12-2). 

[  ]  This amount is based on the Uniform Child Support Guidelines (Utah 

[  ]  This amount is not based on the Uniform Child Support Guidelines 
and I am asking for a different amount because (Choose one.):  

[  ] the guidelines are unjust.  

[  ] the guidelines are inappropriate. 

(Utah Code 78B-12-202 and 210.) 

Explain your choice: 

[  ] the guidelines amount is not in the best interest of the children.  

_______________________________________________________ 

______________________________________________________. 

d.  Effective date (Choose one.): 

[  ]  The child support is effective upon entry of this order.  

 

 

 

OR 

[  ]  The child support is effective on: ____________________ (date). 

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 6 of 10 

 

e.  Child support will be paid as follows (Choose one.): 

[  ]  Mandatory income withholding by the Office of Recovery Services.  

Unless the Office of Recovery Services gives notice that payments will 
be sent elsewhere, all child support payments must be made to:  Office 
of Recovery Services, PO Box 45011, Salt Lake City, UT 84145  

[  ]  Direct payments to the parent receiving child support by: 

OR 

[  ]  Check 

[  ] Deposit in bank account 

[  ] Cashier’s check or money order 

[  ] Other: ________________________________________________ 

I ask for direct payment because (Utah Code 62A-11-404): 

________________________________________________________ 

________________________________________________________ 

f. 

I ask that child support payments be made (Choose one.): 

[  ]  One-half by the 5th day of each month, and one-half by the 20th day of 

each month. 

OR 

[  ]  Other payment arrangement: 

________________________________________________________ 

g.  Child support not paid by the due date is past due on the day after the due 

h.  Past-due child support may be decided by future court or administrative 
action. Any federal or state tax refund or rebate due to the non-custodial 
parent will be intercepted by the state of Utah and applied to past-due child 
support. 

12. 

[  ] 

I have attached the following documents in support of this motion: 

13.  Any order entered under this motion terminates: 

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 7 of 10 

date.  

 

 

 

[  ] 

[  ] 

immediately upon return of the deployed parent 

30 days after the deployed parent gives notice of the return from 
deployment 

[  ] 

other: ______________________________________________________ 

etitioner, Respondent or Intervenor 

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

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

ttorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 8 of 10 

 

    P

    A

   

 

 
Date 

 
Date 

Aviso para la parte que responde 
Su tiempo para responder a esta moción es 
limitado. En la mayoría de casos deberá 
presentar una respuesta escrita con el tribunal 
y darle una copia de la misma a la otra parte: 
• dentro de 14 días del día que se presenta 
la moción, si la misma será resuelta por un 
juez, o 

• por lo menos 14 días antes de la 

audiencia, si la misma será resuelta por un 
comisionado.  

n algunos casos debido a un estatuto o a una 

orden de un juez la fecha límite podrá ser 
distinta.  
  
Si usted no responde a esta moción ni se 
presenta a la audiencia, la persona que 
presentó la moción podría recibir lo que pidió.  
  
Vea la página del tribunal sobre Mociones para 
encontrar más 
información sobre el 
proceso de las mociones, 
las fechas límites y los 
formularios:  
utcourts.gov/motions-
span 

Para accesar esta página 
escanee el código QR 

Para accesar esta página 
escanee el código QR 

Cómo encontrar ayuda 
legal 
La página de la internet 
del tribunal Cómo 
encontrar ayuda legal 
(utcourts.gov/help-
span)  
tiene información sobre algunas maneras de 
encontrar ayuda legal, incluyendo el Centro de 
Ayuda de los Tribunales de Utah, abogados 
que ofrecen descuentos u ofrecen ayuda legal 
limitada, y talleres legales gratuitos. 

  E

otice to responding party 

You have a limited amount of time to 
respond to this motion. In most cases, 
you must file a written response with 
the court and provide a copy to the 
other party: 

• within 14 days of this motion being 
filed, if the motion will be decided 
by a judge, or 

• at least 14 days before the 

hearing, if the motion will be 
decided by a commissioner. 

n some situations a statute or court 
order may specify a different deadline.  

f you do not respond to this motion or 
attend the hearing, the person who 
filed the motion may get what they 
requested.  

ee the court’s 

Motions page for more 
information about the 
motions process, 
deadlines and forms: 
utcourts.gov/motion
s 

Scan QR code  
to visit page 

Finding help 
The court’s Finding 
Legal Help web page 
(utcourts.gov/help) 
provides information 
about the ways you 
can get legal help, 
including the Self-Help Center, 
reduced-fee attorneys, limited legal 
help and free legal clinics.  

Scan QR code  
to visit page 

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 9 of 10 

  N

  I

  I

  S

 

I certify that I filed with the court and am serving a copy of this Motion for Temporary Order Due to 
Deployment on the following people. 

Certificate of Service 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

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

Signature ► 

Printed Name 

 

 

1105FAJ-C Approved January 28, 
2019 / Revised May 1, 2022 

Motion for Temporary Order Due to Deployment - 
Commissioner 

Page 10 of 10