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Here is the text we could read:

 

In the Juvenile Court of Utah 

__________ Judicial District ________________ County 

State of Utah, in the interest of: 

Order on Petition to be Removed 
from the Custody of the Division of 
Child and Family Services 

_____________________________________ 
(Minor’s Name) 

_______________________________ 
Case Number 

_____________________________________ 
(Minor’s Date of Birth) 

_______________________________ 
Judge 

The minor’s Petition to be Removed from the Custody of the Division of Child and 
Family Services was heard by the court on __________________________ (date). 

Present at the hearing were: 

[  ]  Petitioner 

[  ]  Petitioner’s parent _________________________________________ (name). 

[  ]  Petitioner’s parent _________________________________________ (name). 

[  ]  Petitioner’s guardian/custodian. 

[  ]  Petitioner’s attorney. 

[  ]  Guardian ad Litem. 

[  ]  Assistant Attorney General. 

[  ]  Division of Child and Family Services. 

[  ]  Other _________________________________________ (name). 

Approved Board of Juvenile Court Judges July 8, 2016 

Page 1 of 3 

Order on Petition to be Removed from the 
Custody of the Division of Child and Family 
Services 

 

ity, State, Zip 

ame 

ddress 

hone 

mail 
 

  N

  A

  C

  P

  E

 

The court received evidence and opinions from the participants and received input from 
the Division of Child and Family Services, the minor’s guardian ad litem, and the Office 
of the Attorney General regarding whether the minor poses an imminent threat to self or 
others. 

The Court Finds That: 

(1) 

Petitioner is between the ages of 18 and 21.  

Petitioner is in the custody of the Division of Child and Family Services because 
of abuse, neglect or dependency. 

Petitioner wants to be removed from the jurisdiction of the juvenile court and from 
the custody of the Division of Child and Family Services. 

(4) 

[  ]  The parental rights of petitioner’s 

[  ]  father _____________________________________________ (name)   

[  ]  mother ____________________________________________ (name)   

[  ]  father _____________________________________________ (name)   

[  ]  mother ____________________________________________ (name)   

have been terminated.  

(5) 

[  ]    Petitioner’s parent’s / parents’ rights have not been terminated. 

[  ]    Petitioner has a court-appointed guardian:  
___________________________________________________ (guardian’s name). 

Petitioner’s parent / parents or guardian agree that petitioner should be removed 
from the custody of the Division of Child and Family Services. 

(8) 

[  ] 

Petitioner does not pose an imminent threat to self or others. 

OR 

[  ] 

Petitioner poses an imminent threat to self or others. 

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

The Court Orders That: 

The Petition is: 

Order on Petition to be Removed from the 
Custody of the Division of Child and Family 
Services 

Approved Board of Juvenile Court Judges July 8, 2016 

Page 2 of 3 

(2) 

(3) 

(6) 

(7) 

 

 

 

 

[  ]   Granted. Petitioner is removed from the custody of the Division of Child 

and Family Services.    

[  ]   Denied. Petitioner shall remain in the custody of the Division of Child and 

Family Services.  

 

If the judge granted your petition and you decide that you want to return to the custody 
of the Division of Child and Family Services, you must file a Petition to Re-Enter 
Custody of the Division of Child and Family Services within 90 days of this order.  

Sign here ► 

 

 

Judge 

otice to Petitioner 

 
Date 

      N

Order on Petition to be Removed from the 
Custody of the Division of Child and Family 
Services 

 

Approved Board of Juvenile Court Judges July 8, 2016 

Page 3 of 3

My Name

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): 118
Average fields per page: 39
Reading Level: Grade 10
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.

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