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Here is the text we could read:

 

[  ] Appellant 
[  ] Attorney for the Appellant and my Utah Bar number is _________ 

In the [  ]  Utah Supreme Court   [  ]  Utah Court of Appeals 

450 South State Street, Salt Lake City, UT 84111 

Docketing Statement – Civil Case 
(URAP 9(c)) 

_______________________________ 
Appellate Court Case Number 

  _

_____________________________________ 
Appellee 

______________________________ 

Trial Court Case Number 

(1) 

Nature of the appeal. This appeal is from the: 

_____________________________________ 
Appellant     

[  ]  final judgment after a trial 

[  ]  final order 

[  ]  default judgment 

[  ]  judgment after order granting summary judgment 

[  ]  an order granting a motion to dismiss 

(2) 

Important dates.  

o  When was the final judgment of the trial court entered? ________________ 

o  When was the Notice of Appeal filed in the trial court? ________________  

Docketing Statement – Civil Case 

Approved by the Board of Appellate Court Judges May 27, 2015 
Revised October 5, 2021 

Page 1 of 4 

 
Name 

ddress 

ity, State, Zip 

hone 

mail 
 
I am the 

  A

  C

  P

  E

 

v. 

 

 
 
 
 
 
 

     

 

o  Did you receive an extension of time under Appellate Rule 4(e) to file the 

If yes, when was the Motion for an Extension of Time granted? 
________________ 

o  Did you file any of the following motions?  

Motion filed under:  Date motion filed: 

Date of orders ruling on the motion: 

Notice of Appeal? 

[  ]  Yes    [  ]  No 

[  ]  Yes    [  ]  No 

URCP 50(b) 
URCP 52(b) 
URCP 59 
URCP 60(b) 
URCP 73 
URAP 4(g) 

 
 
 
 
 
 

o  Are you an inmate confined in an institution? 

[  ]  Yes    [  ]  No 

If yes, when was the Notice of Appeal deposited in the institution’s internal 
mail system? ________________ 

(3)   Claims or parties remaining before the trial court.  Is this appeal taken from 

an order certified as final under Utah Rule of Civil Procedure 54(b)?  

[  ]  Yes    [  ]  No 

If yes, what claims and parties remain before the trial court?  

 

 

(4) 

Issues on appeal. Separately describe the issue(s) that you plan to argue in 
your appeal. 

Docketing Statement – Civil Case 

Approved by the Board of Appellate Court Judges May 27, 2015 
Revised October 5, 2021 

Page 2 of 4 

 

           

             

 (5)  Summary of what happened in the trial court. Briefly describe the facts 

relating to the issue(s) described above.  

(6) 

Related appeals. Have there been any appeals in this matter before this 
appeal? Are there any other appeals related to this appeal? 

If yes to either question, provide the appellate court case numbers. If the earlier 
or related appeal resulted in a written decision, provide the decision citation, if 
available.  

Case Number 

Citation  (For example, 2015 UT 36 or 2015 UT App 103) 

[  ]  Yes    [  ]  No 

 

 
 

 
 

 
Date 

Sign here ► 

 

 

Typed or Printed Name 

Docketing Statement – Civil Case 

Approved by the Board of Appellate Court Judges May 27, 2015 
Revised October 5, 2021 

Page 3 of 4 

 

 

 

 

 

Certificate of Service 

I certify that on ____________________ (date) a copy of this Docketing Statement was 
served on all parties listed here by the method indicated below: 

Mailed  Emailed  Hand-delivered  Name 

  Mailing or Email Address 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

 

 

 

 

 

 

 

 

 

 

 

 

Date 

Typed or Printed Name 

Sign here ► 

 

 

Docketing Statement – Civil Case 

Approved by the Board of Appellate Court Judges May 27, 2015 
Revised October 5, 2021 

Page 4 of 4

Docketing Statement – Civil Case

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): 4
Fields(s): 69
Average fields per page: 17
Reading Level: Grade 6
LIST Grouping(s): Unknown

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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)
attorney_appellant_utah_number was attorney_for_the_appellant_and_my_utah_bar_number_is (0.38 conf)
i_am_the was i_am_the (0.39 conf)
appellant was appellant (0.46 conf)
appellate_court_case_number was appellate_court_case_number (0.48 conf)
appellee was appellee (0.35 conf)
trial_court_case_number was trial_court_case_number (0.40 conf)
judgment_trial_court_entered was o__when_was_the_final_judgment_of_the_trial_court_entered (0.50 conf)
page__1 was page_1_of_4 (0.42 conf)
page_field__1 was page_0_field_13 (0.31 conf)
south_state_street_city_ut was 450_south_state_street__salt_lake_city__ut_84111 (0.36 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)
final_judgment_trial was final_judgment_after_a_trial (0.38 conf)
final_order was final_order (0.34 conf)
default_judgment was default_judgment (0.34 conf)
judgment_granting_summary was judgment_after_order_granting_summary_judgment (0.35 conf)
granting_motion_dismiss was an_order_granting_a_motion_to_dismiss (0.42 conf)
yes_motion_extension_time was if_yes__when_was_the_motion_for_an_extension_of_time_granted (0.44 conf)
mail_system was mail_system (0.36 conf)
issues_appeal_describe was issues_on_appeal__separately_describe_the_issue_s__that_you_plan_to_argue_in (0.36 conf)
appeal was your_appeal (0.46 conf)
page__2 was page_2_of_4 (0.42 conf)
yes was yes_no (0.45 conf)
notice_appeal was notice_of_appeal (0.45 conf)
page_check__4 was page_1_check_2 (0.26 conf)
page_check__5 was page_1_check_3 (0.26 conf)
page_check__6 was page_1_check_4 (0.26 conf)
page_check__7 was page_1_check_5 (0.26 conf)
page_check__8 was page_1_check_6 (0.26 conf)
page_check__9 was page_1_check_7 (0.26 conf)
relating_issue_described was relating_to_the_issue_s__described_above (0.37 conf)
page_field__2 was page_2_field_1 (0.36 conf)
users1_signature was sign_here (1.00 conf)
signature_date was date (1.00 conf)
page_field__3 was page_2_field_4 (0.36 conf)
page__3 was page_3_of_4 (0.42 conf)
page_check__10 was page_2_check_0 (0.33 conf)
page_check__11 was page_2_check_1 (0.26 conf)
certify was i_certify_that_on (0.37 conf)
mailing_email_address was mailing_or_email_address (0.41 conf)
af_f was AFF046 (0.51 conf)
page_field__4 was page_3_field_3 (0.36 conf)
page_field__5 was page_3_field_4 (0.36 conf)
page_field__6 was page_3_field_5 (0.36 conf)
page_field__7 was page_3_field_6 (0.36 conf)
page_field__8 was page_3_field_7 (0.36 conf)
page_field__9 was page_3_field_8 (0.36 conf)
page_field__10 was page_3_field_9 (0.36 conf)
page_field__11 was page_3_field_10 (0.36 conf)
page_field__12 was page_3_field_11 (0.36 conf)
page__4 was page_4_of_4 (0.42 conf)
page_check__12 was page_3_check_0 (0.33 conf)
page_check__13 was page_3_check_1 (0.26 conf)
page_check__14 was page_3_check_2 (0.26 conf)
page_check__15 was page_3_check_3 (0.26 conf)
page_check__16 was page_3_check_4 (0.26 conf)
page_check__17 was page_3_check_5 (0.26 conf)
page_check__18 was page_3_check_6 (0.26 conf)
page_check__19 was page_3_check_7 (0.26 conf)
page_check__20 was page_3_check_8 (0.26 conf)
page_check__21 was page_3_check_9 (0.26 conf)
page_check__22 was page_3_check_10 (0.26 conf)
page_check__23 was page_3_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

Docketing Statement – Civil Case

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Identified Data Fields:

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