BY THE COURT: 

______________________________________ 
JUVENILE COURT JUDGE  

Form Approved July 13, 2012  
Board of Juvenile Court Judges 

 
IN THE ____________________ DISTRICT JUVENILE COURT 
__________________________________ COUNTY, STATE OF UTAH 

_________________________________ 

Petitioner, 

ORDER VACATING 
CHILD PROTECTIVE ORDER 

vs. 

ase No. __________________________ 

_________________________________ 

udge _____________________________ 

Respondent 

Based on the information presented, and after hearing, the Court finds that the previously 

entered child protective order is VACATED under Utah Code section 78B-7-205(5), based on 
the following: 

___] There has been a substantial and material change in circumstances. 

  [

Other: ___________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 

ATED: ___________________________ TIME: _____________________________ 

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__________________________________ 
Petitioner’s Name 
__________________________________ 
Address (may be omitted for privacy) 
__________________________________ 
City, State, ZIP 
__________________________________ 
Telephone (may be omitted) 
 



ORDER VACATING CHILD PROTECTIVE ORDER

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