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City, State, Zip 

ame 

  N

 
Address 

 
Phone 

 
Email 

 

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) 

Order Granting Motion for Summary 
Judgment on Non-Parentage  

_______________________________ 
Case Number 

_______________________________ 
Judge 

____________________________________ 
(name of Petitioner) 

_______________________________ 
Commissioner (domestic cases) 

and  

 

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

The matter before the court is a Motion for Summary Judgment to Declare Non-
Parentage After Genetic Testing. This matter is being resolved by: (Choose all that apply.) 

[  ]  The default of     [  ] Petitioner     [  ] Respondent. 

[  ]  The stipulation of the parties. 

[  ]  The pleadings and other papers of the parties. 

[  ]  A hearing held on __________________________ (date), notice of which was 
served on all parties. 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 1 of 7 

 

[  ] was represented by _________________________________________ (name). 

Petitioner 

[  ] was present    [  ] was not present. 

[  ] was not represented. 

Respondent 

[  ] was present    [  ] was not present. 

[  ] was not represented. 

[  ] was represented by _________________________________________ (name). 

The court finds the following facts are undisputed: 

1. 

Petitioner, respondent, and the following children participated in genetic testing. 

Child’s name 
(first, middle and last) 

Month and year of birth 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. 

The genetic testing results show  [  ] petitioner  [  ] respondent is not the 
biological parent of the following children.  

Child’s name 
(first, middle and last) 

Month and year of birth 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 2 of 7 

 

3. 

The genetic testing results show  [  ] petitioner  [  ] respondent is the biological 
parent of the following children.  

Child’s name 
(first, middle and last) 

Month and year of birth 

4.  

There are no other facts material to this motion that are in genuine dispute. 

Having considered the documents filed with the court, the evidence and the arguments, 
and now being fully informed, 

The court orders: 

The Motion for Summary Judgment to Declare Non-Parentage After Genetic 
Testing is granted.  

[  ] Petitioner  [  ] Respondent is not the biological parent of the following 
children.  

Child’s name 
(first, middle and last) 

Month and year of birth 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. 

6. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 3 of 7 

 

[  ] Petitioner  [  ] Respondent is the biological parent of the following children. 

Child’s name 
(first, middle and last) 

Month and year of birth 

 

 

 

 

 

 

 

 

 

 

 

 

Information required for the Utah Office of Vital Records and Statistics 

[  ]  Full name of mother as listed on the child’s birth certificate (first, middle, maiden 

and last name): 

____________________________________________________________ 

[  ]  Full name of father as listed on the child’s birth certificate: 

____________________________________________________________ 

0. 

[  ]  Utah Office of Vital Records and Statistics is ordered to remove  

 

_______________________________________________________ 
(name) as father from the birth certificate of the following children: 

Child’s name 

(first, middle and last) 

Month and year of birth 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 4 of 7 

 

 

 

 

 

 

. 

  7

. 

 8

. 

  9

  1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. 

[  ]  Utah Office of Vital Records and Statistics is ordered to add  

 

_______________________________________________________ 
(name) as father to the birth certificate of the following children: 

Child’s name 

(first, middle and last) 

Month and year of birth 

     

 

 

 

 

Signature ► 

Commissioner 

Signature ► 

Judge 

 

 

 

 

 

 

12. 

[  ] 

Other: 

    1

 

  C

 
Date 

 
Date 

 

ommissioner's or Judge’s signature may instead appear at the top of the first page of this document. 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 5 of 7 

 

Approved as to form. 

Signature ► 

Plaintiff/Petitioner, Attorney or Licensed 
Paralegal Practitioner 

Defendant/Respondent, Attorney or Licensed 
Paralegal Practitioner 

Signature ► 

 

 

 

 

 
Date 

 
Date 

 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 6 of 7 

 

 

 

 

I certify that I filed with the court and am serving a copy of this Order Granting Motion for Summary 
Judgment on Non-Parentage 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 

 

 

1554FAJ Approved January 28, 2019 / 
Revised May 1, 2022 
 

Order Granting Motion for Summary Judgment on  
Non-Parentage 

Page 7 of 7