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Here is the text we could read:

In the Juvenile Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

State of Utah, in the interest of 

Order on Motion to Waive Fees 

_____________________________________ 
Last name, first name 

_______________________________ 
Case Number 

_____________________________________ 
Date of birth 

_______________________________ 
Judge  

A minor 
[  ] under [  ] over 18 years of age, and 
[  ] represented [  ] not represented. 

Having reviewed the Motion and Statement to Waive Fees and supporting financial 
evidence, and having made an independent determination based on the information, 

The Court Orders: 

1. 

2. 

[  ]  The motion is denied. The party must pay all fees associated with this case.  

[  ]  The motion is granted. The following fees are waived in full or in part.  

Fee 

Waived 
in Full 

Amount of Fee 

Amount to be 
Paid by Party 

Filing Fee 

Service Fee 

Future fees for writs 
Other (Describe) 
 
Other (Describe) 
 

[  ] 

[  ] 

[  ] 

[  ] 

[  ] 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

3. 

This order is subject to review and amendment until the final judgment or decree. 

Order on Motion to Waive Fees 

 

Approved Board of Juvenile Court Judges  April 17, 2013 
Revised March 18, 2019 

Page 1 of 2 

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

 
Date 

 

Signature ► 

 

 

Judge 

Order on Motion to Waive Fees 

 

Approved Board of Juvenile Court Judges  April 17, 2013 
Revised March 18, 2019 

Page 2 of 2

Order on Motion to Waive Fees

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): 54
Average fields per page: 27
Reading Level: Grade 7
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.

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order_motion_waive_fees was order_on_motion_to_waive_fees (0.40 conf)
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judge was judge (0.39 conf)
page_field__22 was page_0_field_30 (0.31 conf)
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page_field__25 was page_0_field_34 (0.31 conf)
page_field__26 was page_0_field_35 (0.31 conf)
users1_birthdate was date_of_birth (1.00 conf)
page_field__27 was page_0_field_37 (0.37 conf)
page__1 was page_1_of_2 (0.42 conf)
page_check__1 was page_0_check_0 (0.34 conf)
represented was represented_not_represented (0.42 conf)
minor was a_minor (0.38 conf)
page_check__2 was page_0_check_3 (0.33 conf)
denied_pay_fees_case was the_motion_is_denied__the_party_must_pay_all_fees_associated_with_this_case (0.38 conf)
granted_following_fees_full was the_motion_is_granted__the_following_fees_are_waived_in_full_or_in_part (0.42 conf)
af_f was AFF045 (0.51 conf)
page_check__3 was page_0_check_7 (0.33 conf)
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page_check__6 was page_0_check_10 (0.33 conf)
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signature_date was date (1.00 conf)
page_field__29 was page_1_field_2 (0.36 conf)
page__2 was page_2_of_2 (0.42 conf)

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

Order on Motion to Waive Fees

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