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

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Here is the text we could read:

 
City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email 

 

This is a private record. 

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

I am   [  ]  Petitioner 

[  ]  Respondent 
[  ]  Respondent’s Attorney  (Utah Bar #:__________) 

[  ]  Petitioner’s Attorney 
[  ]  Petitioner’s Licensed Paralegal Practitioner 
[  ]  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) 

____________________________________ 
(name of Petitioner) 

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

Declaration of Jurisdiction and 
Grounds for Divorce 
(Utah Code 30-3-4 and Utah Rule of Civil 
Procedure 104) 

_______________________________ 
Case Number 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

My name is: ______________________________________________________.  

[  ]  Petitioner  [  ]  Respondent was a resident of 

 ____________________________________________ county, Utah for at least 
three months immediately before the Petition for Divorce was filed on  

______________________ (date). 

1051FAJ Approved July 18, 2019 / 
Revised May 1, 2022 

Declaration of Jurisdiction and Grounds for Divorce 

Page 1 of 3 

and  

1. 

2. 

 

 

3. 

[  ]  Petitioner  [  ]  Respondent and I were married on  

______________________ (date), in  

_______________________________________ (county and state). 

We separated on ______________________ (date). 

The grounds for divorce are stated in the Petition for Divorce.  

 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 

 

 

4. 

5. 

  I

 
Date 

1051FAJ Approved July 18, 2019 / 
Revised May 1, 2022 

 

Declaration of Jurisdiction and Grounds for Divorce 

Page 2 of 3 

 

 

 

 

Certificate of Service 

I certify that I filed with the court and am serving a copy of this Declaration of Jurisdiction and Grounds for 
Divorce on the following people. 

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 

 

 

1051FAJ Approved July 18, 2019 / 
Revised May 1, 2022 

Declaration of Jurisdiction and Grounds for Divorce 

Page 3 of 3

Declaration of Jurisdiction and Grounds for Divorce

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): 62
Average fields per page: 20
Reading Level: Grade 11
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)
af_f was AFF005 (0.51 conf)
page_field__1 was page_0_field_6 (0.31 conf)
county was county (0.39 conf)
judicial_district was judicial_district (0.38 conf)
declaration_jurisdiction was declaration_of_jurisdiction_and (0.33 conf)
docket_number was case_number (1.00 conf)
judge was judge (0.39 conf)
name_petitioner was name_of_petitioner (0.39 conf)
commissioner_domestic_cases was commissioner__domestic_cases (0.38 conf)
name_respondent was name_of_respondent (0.39 conf)
page_field__2 was page_0_field_15 (0.31 conf)
name was my_name_is (0.33 conf)
three_petition_filed was three_months_immediately_before_the_petition_for_divorce_was_filed_on (0.43 conf)
page_field__3 was page_0_field_18 (0.31 conf)
respondents1_name was respondent (1.00 conf)
respondent_attorney_utah_bar was respondent_s_attorney_utah_bar (0.40 conf)
petitioner_attorney was petitioner_s_attorney (0.40 conf)
page_check__1 was page_0_check_3 (0.33 conf)
petitioner_practitioner was petitioner_s_licensed_paralegal_practitioner (0.34 conf)
respondent_practitioner was respondent_s_licensed_paralegal_practitioner (0.34 conf)
marriage_divorce_without was the_marriage_of__for_a_divorce_with_or_without (0.46 conf)
establish_custody_parent was the_children_of__to_establish_custody__parent (0.51 conf)
parentage_children was the_parentage_of_the_children_of__for_a (0.37 conf)
petitioner_respondent_resident was petitioner_respondent_was_a_resident_of (0.38 conf)
page_check__2 was page_0_check_10 (0.33 conf)
petitioner_respondent_married was petitioner_respondent_and_i_were_married_on (0.40 conf)
separated was we_separated_on (0.36 conf)
signature_date was date (1.00 conf)
signed was signed_at (0.36 conf)
city_state_country was city__and_state_or_country (0.47 conf)
page_field__4 was page_1_field_5 (0.36 conf)
users1_signature was signature (1.00 conf)
page__1 was page_2_of_3 (0.42 conf)
page_check__3 was page_1_check_0 (0.33 conf)
page_check__4 was page_1_check_1 (0.26 conf)
page_field__5 was page_2_field_0 (0.31 conf)
page_field__6 was page_2_field_1 (0.36 conf)
page_field__7 was page_2_field_2 (0.36 conf)
page__2 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)
page_check__5 was page_2_check_4 (0.26 conf)
left_business_person_charge was left_at_business__with_person_in_charge (0.48 conf)
page_check__6 was page_2_check_6 (0.26 conf)
page_check__7 was page_2_check_7 (0.26 conf)
page_check__8 was page_2_check_8 (0.26 conf)
page_check__9 was page_2_check_9 (0.26 conf)
page_check__10 was page_2_check_10 (0.26 conf)
page_check__11 was page_2_check_11 (0.26 conf)
page_check__12 was page_2_check_12 (0.26 conf)
page_check__13 was page_2_check_13 (0.26 conf)
page_check__14 was page_2_check_14 (0.26 conf)
page_check__15 was page_2_check_15 (0.26 conf)
page_check__16 was page_2_check_16 (0.26 conf)
page_check__17 was page_2_check_17 (0.26 conf)

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

Declaration of Jurisdiction and Grounds for Divorce

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