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Here is the text we could read:

 

 

_______________________________ 
Judge 

_______________________________ 
Commissioner 

I am   [  ]  Petitioner         [  ]  Petitioner’s Attorney     (Utah Bar #:__________) 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

Request to Extend Sexual Violence 
Protective Order 
(Utah Code 78B-7-505(3)) 

earing Requested 

  H

_____________________________________ 
Petitioner (person asking for protection) 

v. 

_____________________________________ 
Respondent 

_______________________________ 
Case Number 

1. 

I ask the court to extend the sexual violence protective order issued on  

___________________________ (date), which expires on  

___________________________ (date). 

2. 

 

[  ] 

[  ] 

There is a substantial likelihood I will be subjected to sexual violence.  

The respondent committed or was convicted of: 

[  ]  a violation of the sexual violence protective order I am asking to 

extend. 

1213POF Approved December 9, 2019 
/ Revised by Forms Committee July 1, 
2020 
 

Request to Extend Sexual Violence Protective Order 

Page 1 of 2 

ddress (omit if safeguarded) 

ity, State, Zip (omit if safeguarded) 

hone (omit if safeguarded) 

mail (omit if safeguarded) 

 
Name 

  A

  C

  P

  E

 

[  ]  a sexual violence offense after the sexual violence protective order 

was issued. 

I am filing this request before the sexual violence protective order has expired. 

I request a hearing. 

 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 certify that I served a copy of this Request to Extend Sexual Violence Protective Order on the following 
people. 

Clerk’s Certificate of Service 

Person’s Name 

Service Method 

Service Address 

 

 

Service 
Date 

 

 

[  ]  Mail 
[  ]  E-filed 
[  ]  Email 
[  ]  Mail 
[  ]  E-filed 
[  ]  Email 

Signature ► 

 

 

Clerk’s Printed Name 

3. 

4. 

  I

     

 
Date 

 

 

 
Date 

 

1213POF Approved December 9, 2019 
/ Revised by Forms Committee July 1, 
2020 
 

Request to Extend Sexual Violence Protective Order 

Page 2 of 2

Request to Extend Sexual Violence Protective Order

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): 80
Average fields per page: 40
Reading Level: Grade 12
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__1 was name (1.00 conf)
address_omit_safeguarded was address__omit_if_safeguarded (0.37 conf)
city_state_omit_safeguarded was city__state__zip__omit_if_safeguarded (0.43 conf)
phone_omit_safeguarded was phone__omit_if_safeguarded (0.43 conf)
email_omit_safeguarded was email__omit_if_safeguarded (0.43 conf)
district_court_utah was in_the_district_court_of_utah (0.34 conf)
page_field__1 was page_0_field_6 (0.31 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)
extend_sexual_violence was request_to_extend_sexual_violence (0.45 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)
petitioner_person_asking was petitioner__person_asking_for_protection (0.41 conf)
page_field__10 was page_0_field_20 (0.31 conf)
page_field__11 was page_0_field_21 (0.31 conf)
page_field__12 was page_0_field_22 (0.31 conf)
page_field__13 was page_0_field_23 (0.31 conf)
docket_number was case_number (1.00 conf)
page_field__14 was page_0_field_25 (0.31 conf)
page_field__15 was page_0_field_26 (0.31 conf)
page_field__16 was page_0_field_27 (0.31 conf)
respondents1_name was respondent (1.00 conf)
page_field__17 was page_0_field_29 (0.31 conf)
page_field__18 was page_0_field_30 (0.31 conf)
hearing_requested was hearing_requested (0.38 conf)
page_field__19 was page_0_field_32 (0.31 conf)
page_field__20 was page_0_field_33 (0.31 conf)
page_field__21 was page_0_field_34 (0.31 conf)
page_field__22 was page_0_field_35 (0.31 conf)
page_field__23 was page_0_field_36 (0.31 conf)
page_field__24 was page_0_field_37 (0.37 conf)
page_field__25 was page_0_field_38 (0.37 conf)
judge was judge (0.39 conf)
extend_sexual_violence_issued was i_ask_the_court_to_extend_the_sexual_violence_protective_order_issued_on (0.35 conf)
page_field__26 was page_0_field_41 (0.37 conf)
commissioner was commissioner (0.36 conf)
page_field__27 was page_0_field_43 (0.37 conf)
page_field__28 was page_0_field_44 (0.37 conf)
signature_date was date (1.00 conf)
likelihood_sexual_violence was there_is_a_substantial_likelihood_i_will_be_subjected_to_sexual_violence (0.33 conf)
page_field__29 was page_0_field_47 (0.37 conf)
page_field__30 was page_0_field_48 (0.37 conf)
page_field__31 was page_0_field_49 (0.37 conf)
page_field__32 was page_0_field_50 (0.31 conf)
page_field__33 was page_0_field_51 (0.37 conf)
af_f was AFF052 (0.51 conf)
page__1 was page_1_of_2 (0.42 conf)
petitioner_attorney_utah_bar was i_am_petitioner_petitioner_s_attorney_utah_bar (0.41 conf)
page_check__1 was page_0_check_1 (0.33 conf)
page_check__2 was page_0_check_2 (0.33 conf)
page_check__3 was page_0_check_3 (0.33 conf)
violation_sexual_violence was a_violation_of_the_sexual_violence_protective_order_i_am_asking_to (0.40 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature was signature (1.00 conf)
page_field__34 was page_1_field_2 (0.36 conf)
page_field__35 was page_1_field_3 (0.36 conf)
page_field__36 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__37 was page_1_field_7 (0.36 conf)
page_field__38 was page_1_field_8 (0.36 conf)
users1_name__2 was printed_name (1.00 conf)
page_field__39 was page_1_field_10 (0.36 conf)
page_field__40 was page_1_field_11 (0.36 conf)
page_field__41 was page_1_field_12 (0.36 conf)
page__2 was page_2_of_2 (0.42 conf)
sexual_violence_order was a_sexual_violence_offense_after_the_sexual_violence_protective_order (0.34 conf)
mail was mail (0.38 conf)
e_filed was e_filed (0.48 conf)
email was email (0.38 conf)
page_check__4 was page_1_check_4 (0.26 conf)
page_check__5 was page_1_check_5 (0.26 conf)
page_check__6 was page_1_check_6 (0.26 conf)

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

Request to Extend Sexual Violence Protective Order

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