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

LIT Lab Home | About The Explorer | Find & Compare | Explore: Utah Lists

Here is the text we could read:

 
Name 
 
Address 
 
City, State, Zip 
 
Phone 

 
Email  

 

 

 
 
 
 
 
 

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

In the    [  ] District    [  ] Justice    Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

Proof of Completed Service  
(Utah Rule of Civil Procedure 4) 

_____________________________________ 
Plaintiff/Petitioner 

_______________________________ 
Case Number 

v. 

_____________________________________ 
Defendant/Respondent 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

1. 

The following documents were served by the method described below (Choose all 
that apply.): 

[  ]  Summons (File or attach copy.) 
[  ]  Complaint or Petition 
[  ]  Amended Complaint or Petition 
[  ]  Notice of Divorce Education Requirements 
[  ]  Notice of Disclosure Requirements in Domestic Relations Cases 
[  ]  Notice to Defendant of Disclosure Requirements in Unlawful Detainer 

Actions 

[  ]  Domestic Relations Injunction 
[  ]  Parenting Plan 
[  ]  Other: ________________________________________________ (describe) 

1020GEJ Approved February 26, 2018 
/ Revised December 26, 2019 
 

Proof of Completed Service 

Page 1 of 5 

 

Complete paragraph 2, or paragraphs 3 and 4. 

Service by Mail   
(Service by mail requires a signed receipt. Attach the receipt.) 

2. 

[  ]  I served the following person by sending a copy of the documents listed in 

Paragraph (1) by mail or commercial courier service to: 

ame of Addressee 

ddress 

ity, State, Zip 

  N

  A

  C

I have attached a signed receipt proving delivery. It was signed by: 

[  ]  the addressee personally. 

[  ]  someone authorized by appointment or by law to receive service of 

process on behalf of the addressee. 

Service by Third Person  

3. 

[  ]  I am over the age of 18, and 

 

 

 

I am not a party or an attorney for a party to this action.  

I have not been convicted of a felony violation of a sex offense (Listed in 
Utah Code 77-41-102(16)).  

I am not a respondent in a protective order proceeding (Utah Code 78B-7-
101 et seq.). 

4. 

[  ]  On ______________________ (date), I went to ______________________ 

 

 

______________________________________________________  (address), 

and I delivered the documents listed in paragraph 1 to 

________________________________________________________ (name), 

who is (Check one.):  

[  ] 

the named defendant/respondent. 

[  ]  

the named plaintiff/petitioner. 

[  ]   a person of suitable age and discretion residing at that address, which is 
the named party’s residence. (Describe why the person lives at the named party’s 
residence and why they are of suitable age and discretion.) 

1020GEJ Approved February 26, 2018 
/ Revised December 26, 2019 
 

Proof of Completed Service 

Page 2 of 5 

 

_____________________________________________________________________ 

_____________________________________________________________________ 

[  ]   an agent authorized by appointment or by law to receive service of 

process on behalf of the named party. 

If serving a corporation, partnership, or an unincorporated association 
[  ]   an officer, a managing agent, general agent. 

OR 

[  ]   an agent authorized by appointment or by law to receive service of 

process and by also mailing a copy of the complaint and summons to the 
named party, if the agent is one authorized by statute to receive process 
and the statute so requires. 

If serving a city or town 
[  ]  

the city/town recorder. 

If serving a county 
[  ]  

the county clerk.  

If serving the state 
[  ]  

the attorney general, and to 
_____________________________________________________ (name 
of any other person or agency required by statute to be served)  at 

__________________________________________________ (address). 

If serving a department or agency of the state 
[  ]   a member of named party’s governing board, executive employee or 

secretary. 

If the document was served in some other way 
[  ]   Other (Describe how the document was served.) 

_____________________________________________________________________ 

_____________________________________________________________________ 

 

 

 

 

 

 

1020GEJ Approved February 26, 2018 
/ Revised December 26, 2019 
 

Proof of Completed Service 

Page 3 of 5 

 

 
Person Completing Service  

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 

 

 

 

 

 
Date 

    A

 
Date 

1020GEJ Approved February 26, 2018 
/ Revised December 26, 2019 
 

Proof of Completed Service 

Page 4 of 5 

 

 

 

 

I certify that I filed with the court and am serving a copy of this Proof of Completed Service on the 
following people. 

Certificate of Service 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

 

 

 

 

 
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.) 

Signature ► 

Printed Name 

 

 

1020GEJ Approved February 26, 2018 
/ Revised December 26, 2019 
 

Proof of Completed Service 

Page 5 of 5

Proof of Completed Service

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): 5
Fields(s): 200
Average fields per page: 40
Reading Level: Grade 12
LIST Grouping(s): GO-00-00-00-00.

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 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_justice_court_utah was in_the_district_justice_court_of_utah (0.40 conf)
judicial_district was judicial_district (0.38 conf)
page_field__2 was page_0_field_8 (0.31 conf)
page_field__3 was page_0_field_9 (0.31 conf)
county was county (0.39 conf)
page_field__4 was page_0_field_11 (0.31 conf)
page_field__5 was page_0_field_12 (0.31 conf)
proof_completed_service was proof_of_completed_service (0.44 conf)
page_field__6 was page_0_field_14 (0.31 conf)
page_field__7 was page_0_field_15 (0.31 conf)
page_field__8 was page_0_field_16 (0.31 conf)
page_field__9 was page_0_field_17 (0.31 conf)
court_address was court_address (0.42 conf)
docket_number was case_number (1.00 conf)
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page_field__11 was page_0_field_21 (0.31 conf)
plaintiff_petitioner was plaintiff_petitioner (0.50 conf)
page_field__12 was page_0_field_23 (0.31 conf)
page_field__13 was page_0_field_24 (0.31 conf)
page_field__14 was page_0_field_25 (0.31 conf)
utah_rule_civil_procedure was utah_rule_of_civil_procedure_4 (0.41 conf)
page_field__15 was page_0_field_27 (0.31 conf)
page_field__16 was page_0_field_28 (0.31 conf)
page_field__17 was page_0_field_29 (0.31 conf)
commissioner_domestic_cases was commissioner__domestic_cases (0.38 conf)
page_field__18 was page_0_field_31 (0.31 conf)
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judge was judge (0.39 conf)
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page_field__21 was page_0_field_35 (0.31 conf)
following_described_choose was the_following_documents_were_served_by_the_method_described_below__choose_all (0.28 conf)
defendant_respondent was defendant_respondent (0.42 conf)
page_field__22 was page_0_field_38 (0.37 conf)
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page_field__24 was page_0_field_40 (0.31 conf)
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page_field__26 was page_0_field_42 (0.37 conf)
page_field__27 was page_0_field_43 (0.37 conf)
page_field__28 was page_0_field_44 (0.37 conf)
page_field__29 was page_0_field_45 (0.31 conf)
describe was describe (0.40 conf)
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page_field__31 was page_0_field_48 (0.37 conf)
page_field__32 was page_0_field_49 (0.37 conf)
domestic_relations_injunction was domestic_relations_injunction (0.29 conf)
page_field__33 was page_0_field_51 (0.37 conf)
page_field__34 was page_0_field_52 (0.37 conf)
parenting_plan was parenting_plan (0.30 conf)
other was other (0.43 conf)
page__1 was page_1_of_5 (0.42 conf)
page_check__1 was page_0_check_0 (0.34 conf)
page_check__2 was page_0_check_1 (0.33 conf)
summons_file_attach_copy was summons__file_or_attach_copy (0.39 conf)
complaint_petition was complaint_or_petition (0.44 conf)
amended_complaint_petition was amended_complaint_or_petition (0.43 conf)
notice_education_requirements was notice_of_divorce_education_requirements (0.41 conf)
disclosure_requirements_cases was notice_of_disclosure_requirements_in_domestic_relations_cases (0.36 conf)
notice_defendant_unlawful was notice_to_defendant_of_disclosure_requirements_in_unlawful_detainer (0.47 conf)
page_check__3 was page_0_check_8 (0.33 conf)
page_check__4 was page_0_check_9 (0.33 conf)
page_check__5 was page_0_check_10 (0.33 conf)
name_addressee was name_of_addressee (0.41 conf)
page_field__35 was page_1_field_1 (0.36 conf)
page_field__36 was page_1_field_2 (0.36 conf)
respondent_protective_order_proceeding_utah_code_b was i_am_not_a_respondent_in_a_protective_order_proceeding__utah_code_78b_7 (0.38 conf)
delivered_documents_paragraph was and_i_delivered_the_documents_listed_in_paragraph_1_to (0.37 conf)
date_went was date_i_went_to (0.38 conf)
page_field__37 was page_1_field_6 (0.36 conf)
et_seq was 101_et_seq (0.34 conf)
page_field__38 was page_1_field_8 (0.36 conf)
page_field__39 was page_1_field_9 (0.36 conf)
page_field__40 was page_1_field_10 (0.36 conf)
page_field__41 was page_1_field_11 (0.36 conf)
page_field__42 was page_1_field_12 (0.36 conf)
page_field__43 was page_1_field_13 (0.36 conf)
page_field__44 was page_1_field_14 (0.36 conf)
page_field__45 was page_1_field_15 (0.36 conf)
page_field__46 was page_1_field_16 (0.36 conf)
page_field__47 was page_1_field_17 (0.36 conf)
page_field__48 was page_1_field_18 (0.36 conf)
page_field__49 was page_1_field_19 (0.36 conf)
page_field__50 was page_1_field_20 (0.36 conf)
page_field__51 was page_1_field_21 (0.36 conf)
page_field__52 was page_1_field_22 (0.36 conf)
page_field__53 was page_1_field_23 (0.36 conf)
named_defendant_respondent was the_named_defendant_respondent (0.39 conf)
check_one was who_is__check_one (0.39 conf)
page_field__54 was page_1_field_26 (0.36 conf)
page_field__55 was page_1_field_27 (0.36 conf)
page__2 was page_2_of_5 (0.42 conf)
following_person_sending was i_served_the_following_person_by_sending_a_copy_of_the_documents_listed_in (0.38 conf)
age was i_am_over_the_age_of_18__and (0.40 conf)
on was on (0.33 conf)
addressee_personally was the_addressee_personally (0.40 conf)
appointment_law_receive__1 was someone_authorized_by_appointment_or_by_law_to_receive_service_of (0.54 conf)
af_f was AFF101 (0.51 conf)
page_check__6 was page_1_check_6 (0.26 conf)
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appointment_law_receive__2 was an_agent_authorized_by_appointment_or_by_law_to_receive_service_of (0.49 conf)
process_behalf_named_party was process_on_behalf_of_the_named_party (0.39 conf)
page_field__56 was page_2_field_2 (0.36 conf)
page_field__57 was page_2_field_3 (0.36 conf)
page_field__58 was page_2_field_4 (0.36 conf)
page_field__59 was page_2_field_5 (0.36 conf)
page_field__60 was page_2_field_6 (0.36 conf)
page_field__61 was page_2_field_7 (0.36 conf)
page_field__62 was page_2_field_8 (0.36 conf)
page_field__63 was page_2_field_9 (0.36 conf)
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page_field__66 was page_2_field_12 (0.36 conf)
page_field__67 was page_2_field_13 (0.36 conf)
page_field__68 was page_2_field_14 (0.36 conf)
page_field__69 was page_2_field_15 (0.36 conf)
page_field__70 was page_2_field_16 (0.36 conf)
person_required_statute was of_any_other_person_or_agency_required_by_statute_to_be_served_at (0.39 conf)
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page_field__72 was page_2_field_19 (0.36 conf)
attorney_general was the_attorney_general__and_to (0.41 conf)
page_field__73 was page_2_field_21 (0.36 conf)
page_field__74 was page_2_field_22 (0.36 conf)
serving_state was if_serving_the_state (0.35 conf)
page_field__75 was page_2_field_24 (0.36 conf)
page_field__76 was page_2_field_25 (0.36 conf)
page_field__77 was page_2_field_26 (0.36 conf)
page_field__78 was page_2_field_27 (0.36 conf)
page_field__79 was page_2_field_28 (0.36 conf)
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page_field__80 was page_2_field_30 (0.36 conf)
page_field__81 was page_2_field_31 (0.36 conf)
page_field__82 was page_2_field_32 (0.36 conf)
page_field__83 was page_2_field_33 (0.36 conf)
page_field__84 was page_2_field_34 (0.36 conf)
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page_field__86 was page_2_field_36 (0.36 conf)
describe_document_served was other__describe_how_the_document_was_served (0.31 conf)
page_field__87 was page_2_field_38 (0.32 conf)
page_field__88 was page_2_field_39 (0.32 conf)
document_served_way was if_the_document_was_served_in_some_other_way (0.29 conf)
secretary was secretary (0.47 conf)
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page_field__90 was page_2_field_43 (0.32 conf)
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page_field__93 was page_2_field_46 (0.32 conf)
page_field__94 was page_2_field_47 (0.32 conf)
page_field__95 was page_2_field_48 (0.32 conf)
page_field__96 was page_2_field_49 (0.32 conf)
page_field__97 was page_2_field_50 (0.36 conf)
page__3 was page_3_of_5 (0.42 conf)
page_check__7 was page_2_check_0 (0.33 conf)
managing_agent_general was an_officer__a_managing_agent__general_agent (0.47 conf)
page_check__8 was page_2_check_2 (0.26 conf)
page_check__9 was page_2_check_3 (0.26 conf)
page_check__10 was page_2_check_4 (0.26 conf)
page_check__11 was page_2_check_5 (0.26 conf)
member_party_employee was a_member_of_named_party_s_governing_board__executive_employee_or (0.36 conf)
page_check__12 was page_2_check_7 (0.26 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature was signature (1.00 conf)
page_field__98 was page_3_field_2 (0.36 conf)
page_field__99 was page_3_field_3 (0.36 conf)
person_completing_service was person_completing_service (0.41 conf)
page_field__100 was page_3_field_5 (0.36 conf)
signed was signed_at (0.36 conf)
page_field__101 was page_3_field_7 (0.36 conf)
signature_date was date (1.00 conf)
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page_field__104 was page_3_field_11 (0.36 conf)
page_field__105 was page_3_field_12 (0.36 conf)
page__4 was page_4_of_5 (0.42 conf)
page_field__106 was page_4_field_0 (0.31 conf)
page_field__107 was page_4_field_1 (0.36 conf)
page_field__108 was page_4_field_2 (0.36 conf)
page__5 was page_5_of_5 (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)
page_check__13 was page_4_check_4 (0.26 conf)
left_business_person_charge was left_at_business__with_person_in_charge (0.48 conf)
page_check__14 was page_4_check_6 (0.26 conf)
page_check__15 was page_4_check_7 (0.26 conf)
page_check__16 was page_4_check_8 (0.26 conf)
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page_check__19 was page_4_check_11 (0.26 conf)
page_check__20 was page_4_check_12 (0.26 conf)
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page_check__23 was page_4_check_15 (0.26 conf)
page_check__24 was page_4_check_16 (0.26 conf)
page_check__25 was page_4_check_17 (0.26 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

users1_name
users1_address_line_one
city_state_zip
users1_phone_number
email
page_field__1
district_justice_court_utah
judicial_district
page_field__2
page_field__3
county
page_field__4
page_field__5
proof_completed_service
page_field__6
page_field__7
page_field__8
page_field__9
court_address
docket_number
page_field__10
page_field__11
plaintiff_petitioner
page_field__12
page_field__13
page_field__14
utah_rule_civil_procedure
page_field__15
page_field__16
page_field__17
commissioner_domestic_cases
page_field__18
page_field__19
judge
page_field__20
page_field__21
following_described_choose
defendant_respondent
page_field__22
page_field__23
page_field__24
page_field__25
page_field__26
page_field__27
page_field__28
page_field__29
describe
page_field__30
page_field__31
page_field__32
domestic_relations_injunction
page_field__33
page_field__34
parenting_plan
other
page__1
page_check__1
page_check__2
summons_file_attach_copy
complaint_petition
amended_complaint_petition
notice_education_requirements
disclosure_requirements_cases
notice_defendant_unlawful
page_check__3
page_check__4
page_check__5
name_addressee
page_field__35
page_field__36
respondent_protective_order_proceeding_utah_code_b
delivered_documents_paragraph
date_went
page_field__37
et_seq
page_field__38
page_field__39
page_field__40
page_field__41
page_field__42
page_field__43
page_field__44
page_field__45
page_field__46
page_field__47
page_field__48
page_field__49
page_field__50
page_field__51
page_field__52
page_field__53
named_defendant_respondent
check_one
page_field__54
page_field__55
page__2
following_person_sending
age
on
addressee_personally
appointment_law_receive__1
af_f
page_check__6
suitable_discretion_address
appointment_law_receive__2
process_behalf_named_party
page_field__56
page_field__57
page_field__58
page_field__59
page_field__60
page_field__61
page_field__62
page_field__63
page_field__64
page_field__65
page_field__66
page_field__67
page_field__68
page_field__69
page_field__70
person_required_statute
page_field__71
page_field__72
attorney_general
page_field__73
page_field__74
serving_state
page_field__75
page_field__76
page_field__77
page_field__78
page_field__79
department_agency_state
page_field__80
page_field__81
page_field__82
page_field__83
page_field__84
page_field__85
page_field__86
describe_document_served
page_field__87
page_field__88
document_served_way
secretary
page_field__89
page_field__90
page_field__91
page_field__92
page_field__93
page_field__94
page_field__95
page_field__96
page_field__97
page__3
page_check__7
managing_agent_general
page_check__8
page_check__9
page_check__10
page_check__11
member_party_employee
page_check__12
city_state_country
users1_signature
page_field__98
page_field__99
person_completing_service
page_field__100
signed
page_field__101
signature_date
page_field__102
page_field__103
page_field__104
page_field__105
page__4
page_field__106
page_field__107
page_field__108
page__5
left_home_person_suitable
mail
hand_delivery
e_filed
page_check__13
left_business_person_charge
page_check__14
page_check__15
page_check__16
page_check__17
page_check__18
page_check__19
page_check__20
page_check__21
page_check__22
page_check__23
page_check__24
page_check__25

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