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Here is the text we could read:

 
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[  ] Defendant 
[  ] Parent or Guardian of the Defendant 

In the [  ] District    [  ] Juvenile    [  ] Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________ 
Plaintiff 

Statement of No Unlawful Alcohol 
Consumption 

_______________________________ 
Case Number 

_____________________________________ 
Defendant 

_______________________________ 
Judge 

Being first sworn and under oath or affirmation, I say as follows: (Choose one)  

I am the defendant in this case, and I am 18 years of age or older. I have not 
unlawfully consumed alcohol during the period of license suspension or denial. 

I am the parent or legal guardian of the defendant, who is under 18 years of age. 
To the best of my knowledge the defendant has not unlawfully consumed alcohol 
during the period of license suspension or denial. 

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). 

Signature ► 

Printed Name 

 

 

Statement of No Unlawful Alcohol Consumption 

Approved Boards of Judges May 4, 13, 20, 2011 
Revised May 1, 2019 

Page 1 of 2 

v. 

[  ] 

[  ] 

 
Date 

 

 
 
 
 
 
 

 
Address 
 
City, State, Zip 
 
Phone 

ame 

  N

 
Email  

I am the 

I certify that I filed with the court and am serving a copy of this Statement of No Unlawful Alcohol 
Consumption on the following people. 

Certificate of Service 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

(Prosecuting Attorney) 

[  ]  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 

Sign here ► 

 

 

Typed or Printed Name 

Statement of No Unlawful Alcohol Consumption 

Approved Boards of Judges May 4, 13, 20, 2011 
Revised May 1, 2019 

Page 2 of 2

Statement of No Unlawful Alcohol Consumption

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): 74
Average fields per page: 37
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)
page_field__1 was page_0_field_7 (0.31 conf)
justice_court_utah was in_the_district_juvenile_justice_court_of_utah (0.36 conf)
page_field__2 was page_0_field_9 (0.31 conf)
page_field__3 was page_0_field_10 (0.31 conf)
page_field__4 was page_0_field_11 (0.31 conf)
statement_unlawful_alcohol was statement_of_no_unlawful_alcohol (0.45 conf)
page_field__5 was page_0_field_13 (0.31 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)
court_address was court_address (0.42 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)
plaintiff was plaintiff (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)
consumption was consumption (0.31 conf)
page_field__16 was page_0_field_27 (0.31 conf)
docket_number was case_number (1.00 conf)
judge was judge (0.39 conf)
first_say_follows_one was being_first_sworn_and_under_oath_or_affirmation__i_say_as_follows_choose_one (0.38 conf)
page_field__17 was page_0_field_31 (0.31 conf)
defendant was defendant (1.00 conf)
page_field__18 was page_0_field_33 (0.31 conf)
page_field__19 was page_0_field_34 (0.31 conf)
page_field__20 was page_0_field_35 (0.31 conf)
page_field__21 was page_0_field_36 (0.31 conf)
page_field__22 was page_0_field_37 (0.37 conf)
page_field__23 was page_0_field_38 (0.37 conf)
page_field__24 was page_0_field_39 (0.37 conf)
city_state_country was city__and_state_or_country (0.47 conf)
users1_signature__1 was signature (1.00 conf)
page_field__25 was page_0_field_42 (0.37 conf)
page_field__26 was page_0_field_43 (0.37 conf)
page_field__27 was page_0_field_44 (0.37 conf)
period_license_denial was during_the_period_of_license_suspension_or_denial (0.37 conf)
signed was signed_at (0.36 conf)
page_field__28 was page_0_field_47 (0.37 conf)
signature_date was date (1.00 conf)
page__1 was page_1_of_2 (0.42 conf)
page_field__29 was page_0_field_50 (0.31 conf)
page_check__1 was page_0_check_0 (0.34 conf)
parent_guardian_defendant was parent_or_guardian_of_the_defendant (0.45 conf)
page_check__2 was page_0_check_2 (0.33 conf)
page_check__3 was page_0_check_3 (0.33 conf)
page_check__4 was page_0_check_4 (0.33 conf)
af_f was AFF056 (0.51 conf)
page_check__5 was page_0_check_6 (0.33 conf)
users1_signature__2 was sign_here (1.00 conf)
page_field__30 was page_1_field_1 (0.36 conf)
page_field__31 was page_1_field_2 (0.36 conf)
page__2 was page_2_of_2 (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__6 was page_1_check_4 (0.26 conf)
left_business_person_charge was left_at_business__with_person_in_charge (0.48 conf)
page_check__7 was page_1_check_6 (0.26 conf)
page_check__8 was page_1_check_7 (0.26 conf)
page_check__9 was page_1_check_8 (0.26 conf)
page_check__10 was page_1_check_9 (0.26 conf)
page_check__11 was page_1_check_10 (0.26 conf)
page_check__12 was page_1_check_11 (0.26 conf)

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

Statement of No Unlawful Alcohol Consumption

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