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

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Here is the text we could read:

 
City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email  

 

If you do not respond to this 
document within applicable time 
limits, judgment could be entered 
against you as requested. 

 
 
 
 
 
 
 
Check your email. You will receive information and 
documents at this email address.  
 

I am   [  ]  Petitioner 

[  ]  Petitioner’s Attorney 
[  ]  Petitioner’s Licensed Paralegal Practitioner 
[  ]  Respondent’s Licensed Paralegal Practitioner   

[  ]  Respondent 
[  ]  Respondent’s Attorney   

(Utah Bar #:__________) 

(Utah Bar #:__________) 

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) 

Petition to Modify Child Custody, 
Parent-time and Child Support 
(Utah Rule of Civil Procedure 106) 

[  ] and Stipulation 

_______________________________ 
Case Number 

____________________________________ 
(name of Petitioner) 

_______________________________ 
Judge 

and  

 

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

_______________________________ 
Commissioner 

I ask the court to modify the child custody, parent-time and child support orders as 
follows. 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 1 of 21 

1. 

Controlling order 

The order controlling child custody, parent-time and child support is: 

Title of order: 

Name of Court: 

Address of 
Clerk of Court: 

Case Number: 

Date Signed: 

 

 

 

 

 

State 
Phone Number 
of Clerk of 
Court: 

Case Name 

Signed by 
Judge: 

 

 

 

 

Controlling custody order 
 
(Required.) 

[  ]  I have attached a copy of the current order. 

2. 

3. 

Jurisdiction (Authority to Modify Order) 
(Note: an order could be registered in another state, but that does not always mean the other 
state has jurisdiction to modify or change the order.) 

The children reside: 

Child’s name 

Where child resides (state or country) 

 

 

 

 

 

 

 

 

 

 

Lived there 
more than 6 
months? 

[  ]  Yes 
[  ]  No 
[  ]  Yes 
[  ]  No 
[  ]  Yes 
[  ]  No 
[  ]  Yes 
[  ]  No 
[  ]  Yes 
[  ]  No 

The petitioner resides in: ______________________________________ (state or country). 

The respondent resides in: ____________________________________ (state or country).  

 

The controlling order was issued by (Choose one.): 

[  ]  a Utah court, and 

(Choose all that apply.) 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 2 of 21 

[  ]  jurisdiction has never been transferred to another state. 

That court has always maintained the case 

No other court has ever expressed a willingness to change the order 

Jurisdiction has always remained with this court. 

[  ]  jurisdiction has been transferred to another state.  

Name of court: ____________________   Date transferred: ______________ 

[  ]  other (Describe what has happened with the order): 

_____________________________________________________________ 

OR 

[  ]  a non-Utah court, and  
(Choose all that apply.) 

[  ]  jurisdiction has never been transferred to Utah. 

[  ]  jurisdiction has been transferred to Utah. Date: __________________. 

[  ]  the order has been registered in Utah for enforcement purposes only. 

[  ]  there is substantial evidence in Utah about the children's care, 

protection, training, and personal relationships. 

[  ]  other courts have made a decision about jurisdiction and a copy of that 

order is attached to this petition.  

[  ]  other (Describe what has happened with the order): 

_____________________________________________________________ 

4. 

Relationship to children 

I am the (Choose all that apply.): 

[  ]  person who pays child support. 

[  ]  person who receives child support. 

I am  

[  ]  the mother of 

[  ]  the father of 

[  ]  the legal guardian or legal custodian of  

[  ]  a person who has been acting as a parent (Utah Code 30-5a-103) to  

the children listed below. 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 3 of 21 

5. 

Minor children 

There are ________ (number) minor children included in the controlling order.  

Child’s name 
(first, middle and last) 

Child’s 
gender 

Month and year of birth 

6. 

 

Current living arrangement  

The children are currently living (Choose one.): 

[  ]  as stated in the controlling order. 

[  ]  as described below: 

Child’s name 

Address (street, city, state, ZIP) 

Name(s) of 
person(s) who live 
with child at this 
address 

Relation-
ship(s) to 
child 

 

 

 

 

 

 

7. 

 

Minor children's residence (Utah Code 78B-13-209) 

The minor children have lived at the following addresses with the persons listed 
below for the past five years:   
(Add additional pages if needed.) 

Child’s name 

Address (street, city, 
state, ZIP) 

Dates 
child lived 
at this 
address 

Name(s) of 
person(s) who 
lived with child at 
this address 

Relation-
ship(s) to 
child 

 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 4 of 21 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Child’s name 

Address (street, city, 
state, ZIP) 

Dates 
child lived 
at this 
address 

Name(s) of 
person(s) who 
lived with child at 
this address 

Relation-
ship(s) to 
child 

 

 

 

 

 

 

 

 

 

 

 

 

8. 

People claiming custody or parent-time (Utah Code 78B-13-209) 

The following people other than petitioner and respondent claim a right to 
custody or parent-time with the children: 

Name of Person 

Current Address 

 

 

 

 

 

 

 

Claims 

[  ] Custody 
[  ] Parent-time 
[  ] Custody 
[  ] Parent-time 
[  ] Custody 
[  ] Parent-time 

 

 

 

 

 

 

 

9. 

Other cases (Utah Rule of Civil Procedure 100)  

[  ]  There are no other cases that involve(d) the children or this case. 

[  ]  The following cases involve(d) the children or this case:  
 

(Include pending or closed, civil or criminal, in this court or in any other court, in this state or 
in any other state. Each party has a continuing duty to notify the court of any case (past, 
current, or future) that could affect this case.) 

Court  
(Name, address, 
and phone number) 

Case number 

Type of case 
(Choose all that 
apply.) 

 

Court  
(Name, address, 
and phone number) 

 

 

 

[  ] adoption  
[  ] custody 
[  ] delinquency 
[  ] divorce  
[  ] enforcement of 
an order  

[  ] grandparent visitation  
[  ] guardianship 
[  ] modification of an 
order  
[  ] parentage  
 

[  ] protective order 
[  ]  support 
[  ]  termination of parental 
rights 
[  ]  other: 
_____________________ 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 5 of 21 

[  ] adoption  
[  ] custody 
[  ] delinquency 
[  ] divorce  
[  ] enforcement of 
an order  

[  ] grandparent 
visitation  
[  ] guardianship 
[  ] modification of an 
order  
[  ] parentage  
 

[  ] protective order 
[  ]  support 
[  ]  termination of parental 
rights 
[  ]  other: 
_____________________ 

[  ] adoption  
[  ] custody 
[  ] delinquency 
[  ] divorce  
[  ] enforcement of 
an order  

[  ] grandparent 
visitation  
[  ] guardianship 
[  ] modification of an 
order  
[  ] parentage  
 

[  ] protective order 
[  ]  support 
[  ]  termination of parental 
rights 
[  ]  other: 
_____________________ 

10.  Pre-filing dispute resolution (Utah Code 30-3-10.4(1)(c)) 

(Choose one.) 

 

[  ]  The other party agrees with the petition. 

[  ]  Dispute resolution was not required because this petition seeks to modify a 
court order that does not provide for joint legal custody or joint physical 
custody. 

[  ]  Both parents have complied in good faith with the dispute resolution process 

but we did not reach an agreement. 

[  ]  The parties have not yet used a dispute resolution process. 

11.  Controlling parent-time order 

The parent-time schedule in the controlling order is (Choose one.): 

[  ]  according to the attached statutory parent-time schedule.  

[  ]  described in the attached controlling Parenting Plan. 

[  ]  described as follows in the controlling order (Quote the order exactly.):  

   

 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 6 of 21 

 

 

 

 

Case number 

Type of case 
(Choose all that 
apply.) 

Court  
(Name, address, 
and phone number) 

Case number 

Type of case 
(Choose all that 
apply.) 

Child Custody 

12.  Change in circumstances (Utah Code 30-3-10.4) 

The following material and substantial change in circumstances occurred since 
the controlling order was entered:  
(Describe in detail the material and substantial changes (important and major changes). Attach 
additional pages if needed.) 

13.  Proposed custody order 

A joint physical or legal custody arrangement requires a separate Parenting Plan.  

A joint physical custody arrangement may result in denial of cash assistance. 
(Employment Support Act, Utah Code 35A-3-101 et seq.)  

I ask for the following change in the custody order: 

Child’s Name 

Month and 
Year of Birth 

 

 

 

 

 

Order physical 
custody to 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint physical 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint physical 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint physical 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint physical 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint physical 

Order legal 
custody to 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint legal 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint legal 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint legal 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint legal 
[  ] Petitioner 
[  ] Respondent 
[  ] Joint legal 

[  ]  Other Custody Arrangement (Describe in detail.): 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 7 of 21 

       

 

 

 

 

 

   

Parent-time 

14.  Parent-time schedule  

I ask the court to order parent-time as below (Choose one.): 

[  ]  Statutory parent-time schedule:  

(Choose all that apply. You can find the Utah Code at le.utah.gov/xcode/code.html. Print 
and attach a copy of the statute(s) for the option(s) you choose.) 

    [  ] Children under 5 (Utah Code 30-3-35.5) 

    [  ] Children 5-18 (Utah Code 30-3-35) 

 

 

 

    [  ] Children 5-18 (expanded schedule) (Utah Code 30-3-35.1) 

[  ]  Relocation (Utah Code 30-3-37) 

[  ]  Parent-time described in the filed or attached Parenting Plan. 

[  ]  Other parent-time schedule (Describe in detail.):  

15.  Parent-time transfers  

 

I ask the court to order transfer (pick-up and drop-off) of the children for parent-
time as below (Choose one.): 

[  ]  Order transfer of the children for parent-time described in the filed or 

attached Parenting Plan.  

[  ]  Order transfer at beginning of parent-time with  

[  ] petitioner    

[  ] respondent  

[  ] other adult (Name) _______________________________________  

 

transferring the children at this address: 
_________________________________________________________  

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 8 of 21 

   

       

 

and transfer at end of parent-time with  

[  ] petitioner    

[  ] respondent  

[  ] other adult (Name) _______________________________________  

 

transferring the children at this address: 
_________________________________________________________  

 [  ]  Order curbside transfers (The parent/person picking up or dropping off the 

children does not leave the vehicle and the other parent/person does not leave the 
residence). 

[  ]  Other transfer arrangements (Describe in detail.): 

Parent-time transportation costs 

16. 

I ask parent-time transportation costs be divided as follows (Choose one):  

[  ] Relocation statute (Utah Code 30-3-37(12)). 

[  ] Other costs divided as follows (Attach additional pages if needed.): 

17. 

I ask reimbursement of transportation costs be done as follows: (Choose one.) 

[  ] The parent who initially pays for reimbursable travel expenses will provide 
receipts to the other parent within 30 days. The parent who receives travel 
receipts will pay the other parent within 30 days. 

[  ] Other provisions regarding reimbursement as follows (Attach additional pages if 

needed.): 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 9 of 21 

     

   

   

8. 

[  ]  Communication between parties 

I ask the court to order communication between the parties as described below 
(Choose as many options as you want.): 

  1

 

[  ]  In person 

[  ]   Phone 

[  ]   Text 

[  ]   Email 

 

 

 

 

 

Petitioner’s # ________________  Respondent’s #________________ 

Petitioner’s # ________________  Respondent’s #________________ 

Petitioner’s email address ____________________________________ 

Respondent’s email address __________________________________ 

[  ]   Through a third party 

Name ____________________________ Phone # ________________ 

[  ]   Other method of communication: (Describe in detail.) 

_________________________________________________________ 

[  ]   Communications between the parties must be civil and respectful and 

limited to parent-time issues only. 

[  ]   The parties must not make negative or harmful remarks about each other in 
the presence of the minor children, must not allow other people to do so and 
must remove the minor children if anyone makes negative remarks about 
the other party.  

[  ]   The parties must not discuss this case in the presence of the minor children, 

must not allow other people to do so and must remove the minor children if 
anyone discusses the case in the presence of the minor children. 

[  ]   The parties must not harm or threaten to harm the other parent or the minor 
children and must not allow other people to do so and must remove the 
minor children if anyone harms or threatens harm to the other parent or 
minor children. 

19. 

[  ]  Travel costs.  
(Check this box and complete this section only if you are asking for a change in travel costs.) 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 10 of 21 

I ask the court to order travel cost payments for parent-time transfers as follows 
(Choose one.):  

[  ]  as we agree in the attached Parenting Plan. 

[  ]  as proposed in my attached Parenting Plan. 

[  ]  each party is responsible for their own travel costs. 

[  ]  ______% by the Petitioner and ______% by the Respondent.  

The parent who initially pays for reimbursable travel expenses will 
provide receipts to the other parent within 30 days. The parent who 
receives travel receipts will pay the other parent within 30 days. 

[  ]  Other: 

   

20. 

[  ]  Relocation of a parent 
(Check this box and complete this section only if you are asking for a change in relocation terms.) 

I ask the court to order: 

[  ]  If either parent moves more than 149 miles from the other parent, Utah 

Code 30-3-37 will apply. 

[  ]  Neither parent may relocate with the minor children more than ____ miles 
from their current residence without a written agreement signed by the 
parties or further court order. 

[  ]  Other terms about relocating: 

21.  Best interest (Utah Code 30-3-10 and 30-3-10.4) 

It is in the best interest of the children to change custody and parent-time 
because (Explain in detail.):  
 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 11 of 21 

       

 

22.  Child support – reasons to modify  

 

I ask that child support be modified because (Choose all that apply.):  

[  ]  The order has not been modified within the last three years, and 

• 

• 

there is a difference of 10% or more between the support amount as 
ordered and the support amount as required under the guidelines; and 

the difference is not temporary.  

[  ]  There are one or more material changes that affect the child support 

calculation. I used the child support worksheet and there is a difference of 
15% or more from the current support order. The difference is not 
temporary. There is a change (Choose all that apply.):  

[  ]  in custody. 

[  ]  in the relative wealth or assets of the parties. 

[  ]  of 30% or more in the income of a parent. 

[  ]  in the employment potential and ability of a parent to earn. 

[  ]  in the medical needs of the child. 

[  ]  in the legal responsibilities of a parent for the support of others. 

(Utah Code 78B-12-210(9)) 

[  ]  _____________________________________ (child’s name) is emancipated. 

[  ]  there has been a change:  

(At least one must apply, but choose all that do apply.) 

[  ]  in the availability, coverage, or reasonableness of cost of health care 

insurance of the     [  ] payor    [  ] payee;      

[  ]  in work-related or education-related child care expenses of the 

[  ] payor     [  ] payee. 

23.  Current child support order 

The controlling order directs    [  ] petitioner    [  ] respondent to pay 
$_____________ each month for child support. 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 12 of 21 

     

Child Support 

24.  Proposed child support   

I ask the court to modify child support based on the parties' incomes or estimated 
income based on ability or work history.  

a.  Petitioner’s Income 

Petitioner’s total countable gross monthly income for child support purposes is 
$______________ (Utah Code 78B-12-203).  

This income is from these sources: 

_____________________________________________________________. 

[  ]  The court should consider petitioner's income to be $______________ 

based on (Choose one.): 

[  ] minimum wage. 

[  ] historical earnings. 

 

 

 

[  ]  Petitioner does receive or has received public assistance. 

b.  Respondent’s income 

Respondent’s total countable gross monthly income for child support purposes 
is $________________ (Utah Code 78B-12-203).  

This income is from these sources:  

__________________________________________________________. 

[  ]  The court should consider respondent's income to be  $______________ 

based on (Choose one.): 

[  ] minimum wage. 

[  ] historical earnings. 

 

 

[  ]  Respondent does receive or has received public assistance. 

c.  Child support worksheets 

Order  [  ] petitioner   [  ] respondent to pay $________________ per month for 
child support. The following child support worksheet is filed or attached (Choose 
one.):  

 

 

[  ]  sole physical custody worksheet 

[  ]  joint physical custody worksheet 

[  ]  split custody worksheet 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 13 of 21 

d.  Statement of compliance with child support guidelines 
(Choose one.) 

[  ]  This amount is based on the Uniform Child Support Guidelines (Utah Code 

78B-12-2). 

[  ]  This amount is not based on the Uniform Child Support Guidelines and I am 

asking for a different amount because (Choose one.):  

[  ] the guidelines are unjust.  

[  ] the guidelines are inappropriate. 

(Utah Code 78B-12-202 and 210.) 

Explain your choice: 

[  ] the guidelines amount is not in the best interest of the child/ren.  

_______________________________________________________ 

______________________________________________________. 

[  ]  the first day of the month following entry of the Order on Petition to Modify.  

e.  Effective Date 

Child support should be effective (Choose one.): 

[  ]  as of: ___________________ (date). 

f.  Method of payment 

Child support should be paid as follows (Choose one.): 

[  ]  Mandatory income withholding by the Office of Recovery Services (ORS).  
Unless ORS gives notice that payments should be sent elsewhere, all 
child support payments should be made to:   

[  ]  Direct payments to the parent receiving child support by (Choose one.): 

Office of Recovery Services  
PO Box 45011 
Salt Lake City, UT 84145  

[  ]  Check 

[  ]  Deposit in bank account 

[  ]  Cashier’s check or money order 

[  ]  Other: ________________________________________________ 

I ask for direct payment because (Utah Code 62A-11-404): 

 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 14 of 21 

Child support payments must be paid by the following due date (Choose one.): 

[  ]  One half by the 5th day of each month, and the other half by the 20th day 

g.  Payment schedule 

of each month.  

[  ]  Other:  

 

   

Child support not paid by the due date is delinquent the next day.  

h.  Delinquent payments 

i.  Past-due child support 

The issue of past-due child support may be decided by further judicial or 
administrative process. 

If support is past due, the State of Utah may take federal or state tax refunds or 
rebates and apply the amounts to the child support owed. 

25. 

[  ]  Child care expenses (Utah Code 78B-12-214) 
(Check this box and complete this section only if you are asking to change payment of child care 
costs.) 

I ask the court to order: 

• Both parties share equally all reasonable child care expenses related to the 

custodial parent's work or occupational training. 

• The parent who pays child care expenses must immediately provide to the 

other parent written verification of the cost of the child care expenses and the 
identity of the child care provider when hired, within 30 calendar days after a 
change in the provider or the expense, and anytime upon the request of the 
other parent. 

• If the parent who pays child care expenses does not provide written 

verification of child care, that parent may be denied the right to recover or 
receive credit for the other parent's one-half share of the child care expense. 

• The other parent must begin paying one-half the child care amount on a 

monthly basis immediately after receiving proof from the parent that pays the 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 15 of 21 

26. 

[  ]   Health insurance, medical and dental expenses (Utah Code 78B-12-212) 

(Check this box and complete this section only if you are asking for a change in health insurance 
coverage.) 

Our minor children currently have health insurance coverage through: 

[  ]  Petitioner’s insurance 

[  ]  Respondent’s insurance 

[  ]  Medicaid 

[  ]  CHIP 

[  ]  Not covered by insurance 

[  ]  Other: _______________________________________________ 

[  ] 

I ask the court to order [  ] petitioner   [  ] respondent to maintain health 
insurance for our minor children. Both parties must share equally: 

• 

the cost of the premium paid by a parent for the children's portion of 
the insurance. The children's portion of the premium should be 
calculated by dividing the premium amount by the number of people 
covered by the policy and multiplying the result by the number of 
minor children of the parties; and 

•  all reasonable and necessary uninsured medical and dental 

expenses incurred for the children and paid by a parent, including 
deductibles and co-payments. 

The parent ordered to maintain insurance must provide written verification of 
coverage to the other parent or the Office of Recovery Services when the 
children are first enrolled, on or before January 2nd of each calendar year 
and upon any change of insurance carrier, premium, or benefits within 30 
calendar days after the date that parent knew or should have known of the 
change. 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 16 of 21 

child care expense. 

[  ]  Other request for child care payment: 

   

Other Support 

If the parent ordered to maintain insurance fails to provide written 
verification of coverage to the other parent or to the Office of Recovery 
Services, or if the parent incurring medical expenses fails to provide written 
verification of the cost and payment of the expenses to the other parent 
within 30 days of payment, that parent may be denied the right to receive 
credit for the expenses or to recover the other parent's share of the 
expenses.  

The parent receiving written verification will reimburse the parent who 
incurred the medical or dental expenses one-half of the amount within 30 
days after receiving the written verification. 

[  ] 

I ask for this order because (Choose all that apply.): 

[  ]  the insurance is available to  [  ] petitioner   [  ] respondent; 

[  ]  the cost of the insurance is reasonable 

[  ]  the custodial parent prefers this arrangement. 

[  ]  Other reasons:  

[  ] 

I ask for these additional orders regarding health insurance and medical and 
dental expenses:  

   

 

   

 

78B-12-217)  

(Choose one.) 

27. 

[  ] Claiming children as dependents/exemptions for tax purposes (Utah Code 

[  ]  ____________________________________________________ (name) 
will claim the children as dependents/exemptions for tax purposes. 

[  ]  ____________________________________________________ (name) 
will claim the children as dependents/exemptions for tax purposes in 
even years, and 
_________________________________________________ (name) will 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 17 of 21 

claim the children as dependents/exemptions for tax purposes in odd 
years. 

[  ]  claiming children as dependents/exemptions for tax purposes will be 

divided as follows: 

Child’s name 

Month and 
year of birth 

Parent who will 
claim child as 
dependent / 
exemption 

[  ] Petitioner      
[  ] Respondent 

[  ] Petitioner      
[  ] Respondent 

[  ] Petitioner      
[  ] Respondent 

[  ] Petitioner      
[  ] Respondent 

[  ] Petitioner      
[  ] Respondent 

 

 

 

 

 

28. 

[  ]   Attorney fees and costs  

 

 

I ask the court to order the other party pay my attorney fees and costs. 

29. 

[  ]  Other  

I ask the court for these additional orders: 

I ask for these additional orders because: 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 18 of 21 

 

 

 

 

 

 

   

 

 

[  ]  Other:  

   

  ]   has never provided child support services for any child listed in paragraph 5. 

  [

The Office of Recovery Services (Choose one.): 

[  ]   has or is providing child support services for any child listed in paragraph 5. 

31.  Declaration about child support services (Utah Code 78B-12-113(2)(b)) 
 

(Child support services include establishing, modifying or enforcing child support, or establishing 
paternity.) 

I will serve on the Attorney General: 

•  a copy of this petition, and  

• 

the Stipulation to the petition, if any, and 

•  Notice to Child Support Division of the Office of the Attorney General 

and Request to Join  

32.  Documents 

I am filing the following documents along with this Petition to Modify Child 
Custody, Parent-time and Child Support:  
(Check all that apply. Forms can be found at www.utcourts.gov.) 

[  ]  Cover Sheet 

[  ]  Summons  

[  ]  Non-public Information – Parent Information and Location 

[  ]  Non-public Information –  Minors 

[  ]  Non-public Information – Safeguarded Address (if applicable) 

[  ]  Notice of Disclosure Requirements in Domestic Relations Cases 

[  ]  Notice to Child Support Division of the Office of the Attorney General and 

Request to Join (if applicable; also serve on the Attorney General) 

[  ]  Child Support Obligation Worksheet 

[  ]  Parenting Plan (Required if joint custody is requested.) 

 

30.  Remainder of order unchanged 

The remainder of the order should remain unchanged. 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 19 of 21 

   

Petitioner or Respondent  

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

ttorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

Date 

Date 

 

    A

 

     

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 20 of 21 

Stipulation (optional) 

I am the  [  ] petitioner    [  ]  respondent  and the party responding to this Petition to 
Modify Child Custody, Parent-time and Child Support. 

I have received and read the petition and its supporting documents.   

I understand what the petition requests. 

I understand I have the right to contest the petition by filing an answer, and have 
the court decide the issues. 

I waive service of the Summons.  

I agree this court has the authority to decide this matter and I enter my 
appearance for that purpose. 

I agree to the requests in the petition. 

I agree the court may enter an order of modification consistent with the petition at 
any time and without further notice. 

etitioner or Respondent  

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

ttorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

1. 

2. 

3. 

4. 

5. 

6. 

7. 

  P

 
Date 

    A

 

 
Date 

1130FAJ Approved December 16, 
2019 / Revised May 1, 2022 
 

Petition to Modify Child Custody, Parent-time and Child 
Support 

Page 21 of 21

Petition to Modify Child Custody, Parent-time and Child Support

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): 21
Fields(s): 423
Average fields per page: 20
Reading Level: Grade 13
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.

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)
af_f was AFF005 (0.51 conf)
page_field__1 was page_0_field_6 (0.31 conf)
county was county (0.39 conf)
judicial_district was judicial_district (0.38 conf)
petition_child_custody was petition_to_modify_child_custody (0.50 conf)
docket_number was case_number (1.00 conf)
judge was judge (0.39 conf)
name_petitioner was name_of_petitioner (0.39 conf)
commissioner was commissioner (0.36 conf)
name_respondent was name_of_respondent (0.39 conf)
parties was other_parties__if_any (0.40 conf)
page__1 was page_1_of_21 (0.42 conf)
petitioner_attorney was petitioner_s_attorney (0.40 conf)
page_check__1 was page_0_check_1 (0.33 conf)
petitioner_practitioner was petitioner_s_licensed_paralegal_practitioner (0.34 conf)
respondent_practitioner was respondent_s_licensed_paralegal_practitioner (0.34 conf)
marriage_divorce_without was the_marriage_of__for_a_divorce_with_or_without (0.46 conf)
establish_custody_parent was the_children_of__to_establish_custody__parent (0.51 conf)
parentage_children was the_parentage_of_the_children_of__for_a (0.37 conf)
respondents1_name was respondent (1.00 conf)
respondent_attorney was respondent_s_attorney (0.40 conf)
stipulation was and_stipulation (0.28 conf)
no was no (0.45 conf)
state_country was state_or_country (0.47 conf)
page__2 was page_2_of_21 (0.42 conf)
attached_copy_current_order was i_have_attached_a_copy_of_the_current_order (0.43 conf)
utah_court was a_utah_court__and (0.47 conf)
yes was yes (0.45 conf)
page_check__2 was page_1_check_3 (0.26 conf)
page_check__3 was page_1_check_4 (0.26 conf)
page_check__4 was page_1_check_5 (0.26 conf)
page_check__5 was page_1_check_6 (0.26 conf)
page_check__6 was page_1_check_7 (0.26 conf)
page_check__7 was page_1_check_8 (0.26 conf)
page_check__8 was page_1_check_9 (0.26 conf)
page_check__9 was page_1_check_10 (0.26 conf)
page_check__10 was page_1_check_11 (0.26 conf)
date_transferred was date_transferred (0.35 conf)
name_court was name_of_court (0.43 conf)
describe_happened_order was other__describe_what_has_happened_with_the_order (0.38 conf)
order_registered_purposes was the_order_has_been_registered_in_utah_for_enforcement_purposes_only (0.38 conf)
page_field__2 was page_2_field_4 (0.36 conf)
page__3 was page_3_of_21 (0.42 conf)
never_another_state was jurisdiction_has_never_been_transferred_to_another_state (0.46 conf)
jurisdiction_another_state was jurisdiction_has_been_transferred_to_another_state (0.43 conf)
page_check__11 was page_2_check_2 (0.26 conf)
jurisdiction_never_utah was jurisdiction_has_never_been_transferred_to_utah (0.43 conf)
jurisdiction_transferred_date was jurisdiction_has_been_transferred_to_utah__date (0.41 conf)
page_check__12 was page_2_check_5 (0.26 conf)
substantial_children_care was there_is_substantial_evidence_in_utah_about_the_children_s_care (0.40 conf)
courts_decision_jurisdiction was other_courts_have_made_a_decision_about_jurisdiction_and_a_copy_of_that (0.47 conf)
page_check__13 was page_2_check_8 (0.26 conf)
non_utah_court was a_non_utah_court__and (0.43 conf)
person_pays_child_support was person_who_pays_child_support (0.46 conf)
person_child_support was person_who_receives_child_support (0.43 conf)
mother was the_mother_of (0.35 conf)
father was the_father_of (0.32 conf)
legal_guardian_custodian was the_legal_guardian_or_legal_custodian_of (0.46 conf)
person_acting_parent_utah_code was a_person_who_has_been_acting_as_a_parent__utah_code_30_5a_103__to (0.37 conf)
minor_children was minor_children (0.38 conf)
page__4 was page_4_of_21 (0.42 conf)
stated_controlling_order was as_stated_in_the_controlling_order (0.34 conf)
described was as_described_below (0.41 conf)
other was other (0.43 conf)
page__5 was page_5_of_21 (0.42 conf)
custody__1 was custody (0.47 conf)
parent_time was parent_time (0.42 conf)
page_check__14 was page_4_check_2 (0.26 conf)
page_check__15 was page_4_check_3 (0.26 conf)
page_check__16 was page_4_check_4 (0.26 conf)
page_check__17 was page_4_check_5 (0.26 conf)
cases_involve_children_case was there_are_no_other_cases_that_involve_d__the_children_or_this_case (0.34 conf)
following_cases_case was the_following_cases_involve_d__the_children_or_this_case (0.33 conf)
adoption was adoption (0.32 conf)
page_check__18 was page_4_check_9 (0.26 conf)
delinquency was delinquency (0.42 conf)
divorce was divorce (0.41 conf)
enforcement was enforcement_of (0.49 conf)
grandparent_visitation was grandparent_visitation (0.35 conf)
guardianship was guardianship (0.44 conf)
modification was modification_of_an (0.43 conf)
parentage was parentage (0.38 conf)
protective_order was protective_order (0.33 conf)
support__1 was support (0.43 conf)
termination_parental was termination_of_parental (0.38 conf)
page_check__19 was page_4_check_20 (0.26 conf)
page_field__3 was page_5_field_0 (0.31 conf)
page_field__4 was page_5_field_1 (0.36 conf)
follows_quote_exactly was described_as_follows_in_the_controlling_order__quote_the_order_exactly (0.34 conf)
page_field__5 was page_5_field_3 (0.36 conf)
page_field__6 was page_5_field_4 (0.36 conf)
page__6 was page_6_of_21 (0.42 conf)
page_check__20 was page_5_check_0 (0.33 conf)
page_check__21 was page_5_check_1 (0.26 conf)
page_check__22 was page_5_check_2 (0.26 conf)
page_check__23 was page_5_check_3 (0.26 conf)
page_check__24 was page_5_check_4 (0.26 conf)
page_check__25 was page_5_check_5 (0.26 conf)
page_check__26 was page_5_check_6 (0.26 conf)
page_check__27 was page_5_check_7 (0.26 conf)
page_check__28 was page_5_check_8 (0.26 conf)
page_check__29 was page_5_check_9 (0.26 conf)
grandparent was grandparent (0.35 conf)
page_check__30 was page_5_check_11 (0.26 conf)
page_check__31 was page_5_check_12 (0.26 conf)
page_check__32 was page_5_check_13 (0.26 conf)
page_check__33 was page_5_check_14 (0.26 conf)
page_check__34 was page_5_check_15 (0.26 conf)
page_check__35 was page_5_check_16 (0.26 conf)
page_check__36 was page_5_check_17 (0.26 conf)
page_check__37 was page_5_check_18 (0.26 conf)
page_check__38 was page_5_check_19 (0.26 conf)
page_check__39 was page_5_check_20 (0.26 conf)
page_check__40 was page_5_check_21 (0.26 conf)
page_check__41 was page_5_check_22 (0.26 conf)
page_check__42 was page_5_check_23 (0.26 conf)
page_check__43 was page_5_check_24 (0.26 conf)
page_check__44 was page_5_check_25 (0.26 conf)
party_agrees_petition was the_other_party_agrees_with_the_petition (0.33 conf)
dispute_required_petition was dispute_resolution_was_not_required_because_this_petition_seeks_to_modify_a (0.45 conf)
good_dispute_process was both_parents_have_complied_in_good_faith_with_the_dispute_resolution_process (0.42 conf)
parties_dispute_process was the_parties_have_not_yet_used_a_dispute_resolution_process (0.43 conf)
according_parent_time was according_to_the_attached_statutory_parent_time_schedule (0.36 conf)
described_attached_controlling_parenting_plan was described_in_the_attached_controlling_parenting_plan (0.43 conf)
page_check__45 was page_5_check_32 (0.26 conf)
child_custody was child_custody (0.47 conf)
additional_pages_needed was additional_pages_if_needed (0.40 conf)
page_field__7 was page_6_field_2 (0.36 conf)
page_field__8 was page_6_field_3 (0.36 conf)
proposed_custody_order was 13_proposed_custody_order (0.39 conf)
joint_requires_plan was a_joint_physical_or_legal_custody_arrangement_requires_a_separate_parenting_plan (0.37 conf)
custody_describe_detail was other_custody_arrangement__describe_in_detail (0.38 conf)
page_field__9 was page_6_field_7 (0.36 conf)
page__7 was page_7_of_21 (0.42 conf)
page_field__10 was page_6_field_9 (0.36 conf)
petitioners1_name was petitioner (1.00 conf)
page_check__46 was page_6_check_1 (0.26 conf)
joint_physical was joint_physical (0.39 conf)
page_check__47 was page_6_check_3 (0.26 conf)
page_check__48 was page_6_check_4 (0.26 conf)
page_check__49 was page_6_check_5 (0.26 conf)
page_check__50 was page_6_check_6 (0.26 conf)
page_check__51 was page_6_check_7 (0.26 conf)
page_check__52 was page_6_check_8 (0.26 conf)
page_check__53 was page_6_check_9 (0.26 conf)
page_check__54 was page_6_check_10 (0.26 conf)
page_check__55 was page_6_check_11 (0.26 conf)
page_check__56 was page_6_check_12 (0.26 conf)
page_check__57 was page_6_check_13 (0.26 conf)
page_check__58 was page_6_check_14 (0.26 conf)
page_check__59 was page_6_check_15 (0.26 conf)
page_check__60 was page_6_check_16 (0.26 conf)
joint_legal was joint_legal (0.38 conf)
page_check__61 was page_6_check_18 (0.26 conf)
page_check__62 was page_6_check_19 (0.26 conf)
page_check__63 was page_6_check_20 (0.26 conf)
page_check__64 was page_6_check_21 (0.26 conf)
page_check__65 was page_6_check_22 (0.26 conf)
page_check__66 was page_6_check_23 (0.26 conf)
page_check__67 was page_6_check_24 (0.26 conf)
page_check__68 was page_6_check_25 (0.26 conf)
page_check__69 was page_6_check_26 (0.26 conf)
page_check__70 was page_6_check_27 (0.26 conf)
page_check__71 was page_6_check_28 (0.26 conf)
page_check__72 was page_6_check_29 (0.26 conf)
page_check__73 was page_6_check_30 (0.26 conf)
page_field__11 was page_7_field_0 (0.31 conf)
page_field__12 was page_7_field_1 (0.36 conf)
page_field__13 was page_7_field_2 (0.36 conf)
page_field__14 was page_7_field_3 (0.36 conf)
time_describe_detail was other_parent_time_schedule__describe_in_detail (0.46 conf)
page_field__15 was page_7_field_5 (0.36 conf)
page_field__16 was page_7_field_6 (0.36 conf)
parent_time_transfers was 15_parent_time_transfers (0.38 conf)
order_pick_drop_parent was i_ask_the_court_to_order_transfer__pick_up_and_drop_off__of_the_children_for_parent (0.41 conf)
adult_name was other_adult__name (0.45 conf)
transferring_children_address was transferring_the_children_at_this_address (0.43 conf)
page__8 was page_8_of_21 (0.42 conf)
statutory_parent_time was statutory_parent_time_schedule (0.49 conf)
parent_time_filed was parent_time_described_in_the_filed_or_attached_parenting_plan (0.43 conf)
page_check__74 was page_7_check_2 (0.26 conf)
attach_statute_option_choose was and_attach_a_copy_of_the_statute_s__for_the_option_s__you_choose (0.41 conf)
children_utah_code was children_5_18__utah_code_30_3_35 (0.41 conf)
expanded_schedule_utah was children_5_18__expanded_schedule_utah_code_30_3_35_1 (0.41 conf)
relocation_utah_code was relocation__utah_code_30_3_37 (0.37 conf)
parent_time_described was order_transfer_of_the_children_for_parent_time_described_in_the_filed_or (0.40 conf)
beginning_parent_time was order_transfer_at_beginning_of_parent_time_with (0.48 conf)
page_check__75 was page_7_check_9 (0.26 conf)
page_check__76 was page_7_check_10 (0.26 conf)
page_check__77 was page_7_check_11 (0.26 conf)
transfers_picking_dropping was order_curbside_transfers__the_parent_person_picking_up_or_dropping_off_the (0.29 conf)
page_field__17 was page_8_field_1 (0.36 conf)
transfer_describe_detail was other_transfer_arrangements__describe_in_detail (0.35 conf)
page_field__18 was page_8_field_3 (0.36 conf)
time_transportation_costs_choose_one was i_ask_parent_time_transportation_costs_be_divided_as_follows__choose_one (0.43 conf)
follows_additional_needed was other_costs_divided_as_follows__attach_additional_pages_if_needed (0.33 conf)
page_field__19 was page_8_field_6 (0.36 conf)
transportation_costs_choose was i_ask_reimbursement_of_transportation_costs_be_done_as_follows_choose_one (0.39 conf)
needed was needed (0.33 conf)
page__9 was page_9_of_21 (0.42 conf)
page_check__78 was page_8_check_0 (0.33 conf)
page_check__79 was page_8_check_1 (0.26 conf)
page_check__80 was page_8_check_2 (0.26 conf)
page_check__81 was page_8_check_3 (0.26 conf)
page_check__82 was page_8_check_4 (0.26 conf)
relocation_statute_utah_code was relocation_statute__utah_code_30_3_37_12 (0.36 conf)
page_check__83 was page_8_check_6 (0.26 conf)
pays_reimbursable_expenses__1 was the_parent_who_initially_pays_for_reimbursable_travel_expenses_will_provide (0.40 conf)
regarding_follows_additional was other_provisions_regarding_reimbursement_as_follows__attach_additional_pages_if (0.49 conf)
respondent__1 was respondent_s (0.36 conf)
petitioner was petitioner_s (0.36 conf)
page_field__20 was page_9_field_2 (0.36 conf)
page_field__21 was page_9_field_3 (0.36 conf)
page_field__22 was page_9_field_4 (0.36 conf)
page_field__23 was page_9_field_5 (0.36 conf)
page_field__24 was page_9_field_6 (0.36 conf)
page_field__25 was page_9_field_7 (0.36 conf)
method_describe_detail was other_method_of_communication_describe_in_detail (0.32 conf)
page__10 was page_10_of_21 (0.42 conf)
person was in_person (0.38 conf)
page_check__84 was page_9_check_1 (0.26 conf)
text was text (0.33 conf)
page_check__85 was page_9_check_3 (0.26 conf)
third_party was through_a_third_party (0.34 conf)
page_check__86 was page_9_check_5 (0.26 conf)
communication_parties was communication_between_parties (0.42 conf)
parties_must_civil was communications_between_the_parties_must_be_civil_and_respectful_and (0.36 conf)
must_negative_harmful_remarks was the_parties_must_not_make_negative_or_harmful_remarks_about_each_other_in (0.40 conf)
must_discuss_presence_minor was the_parties_must_not_discuss_this_case_in_the_presence_of_the_minor_children (0.36 conf)
must_harm_threaten_parent was the_parties_must_not_harm_or_threaten_to_harm_the_other_parent_or_the_minor (0.42 conf)
travel_costs was travel_costs (0.40 conf)
respondent__2 was by_the_respondent (0.47 conf)
pays_reimbursable_expenses__2 was the_parent_who_initially_pays_for_reimbursable_travel_expenses_will (0.40 conf)
page_field__26 was page_10_field_2 (0.36 conf)
check_complete_asking was check_this_box_and_complete_this_section_only_if_you_are_asking_for_a_change_in_relocation_terms (0.38 conf)
miles was miles (0.32 conf)
terms_relocating was other_terms_about_relocating (0.41 conf)
page_field__27 was page_10_field_6 (0.36 conf)
page_field__28 was page_10_field_7 (0.36 conf)
best_interest_utah_code was 21_best_interest__utah_code_30_3_10_and_30_3_10_4 (0.39 conf)
best_interest_change_time was it_is_in_the_best_interest_of_the_children_to_change_custody_and_parent_time (0.36 conf)
explain_detail was because__explain_in_detail (0.34 conf)
page__11 was page_11_of_21 (0.42 conf)
page_field__29 was page_10_field_12 (0.36 conf)
agree_attached_parenting_plan was as_we_agree_in_the_attached_parenting_plan (0.37 conf)
proposed_attached_plan was as_proposed_in_my_attached_parenting_plan (0.42 conf)
party_responsible_costs was each_party_is_responsible_for_their_own_travel_costs (0.33 conf)
page_check__87 was page_10_check_3 (0.26 conf)
page_check__88 was page_10_check_4 (0.26 conf)
relocation_parent was relocation_of_a_parent (0.52 conf)
either_parent_moves_miles_utah was if_either_parent_moves_more_than_149_miles_from_the_other_parent__utah (0.36 conf)
neither_may_relocate_minor was neither_parent_may_relocate_with_the_minor_children_more_than (0.44 conf)
page_check__89 was page_10_check_8 (0.26 conf)
page_field__30 was page_11_field_0 (0.31 conf)
page_field__31 was page_11_field_1 (0.36 conf)
child_support was child_support (0.43 conf)
page_field__32 was page_11_field_3 (0.36 conf)
page_field__33 was page_11_field_4 (0.36 conf)
page_field__34 was page_11_field_5 (0.36 conf)
page_field__35 was page_11_field_6 (0.36 conf)
page__12 was page_12_of_21 (0.42 conf)
within_last_three_years was the_order_has_not_been_modified_within_the_last_three_years__and (0.37 conf)
one_changes_affect_support was there_are_one_or_more_material_changes_that_affect_the_child_support (0.37 conf)
custody__2 was in_custody (0.40 conf)
wealth_assets_parties was in_the_relative_wealth_or_assets_of_the_parties (0.37 conf)
income_parent was of_30__or_more_in_the_income_of_a_parent (0.42 conf)
employment_potential_ability was in_the_employment_potential_and_ability_of_a_parent_to_earn (0.36 conf)
medical_needs_child was in_the_medical_needs_of_the_child (0.34 conf)
legal_responsibilities_others was in_the_legal_responsibilities_of_a_parent_for_the_support_of_others (0.36 conf)
page_check__90 was page_11_check_8 (0.26 conf)
change was there_has_been_a_change (0.32 conf)
availability_coverage_cost was in_the_availability__coverage__or_reasonableness_of_cost_of_health_care (0.36 conf)
related_child_care_expenses was in_work_related_or_education_related_child_care_expenses_of_the (0.39 conf)
payor_payee was payor_payee (0.49 conf)
page_check__91 was page_11_check_13 (0.26 conf)
page_check__92 was page_11_check_14 (0.26 conf)
page_check__93 was page_11_check_15 (0.26 conf)
current_child_support_order was 23_current_child_support_order (0.38 conf)
month_child_support was each_month_for_child_support (0.36 conf)
page_field__36 was page_12_field_0 (0.31 conf)
income_sources was this_income_is_from_these_sources (0.35 conf)
court_consider_petitioner was the_court_should_consider_petitioner_s_income_to_be (0.37 conf)
is was is (0.32 conf)
page_field__37 was page_12_field_4 (0.36 conf)
court_consider_respondent was the_court_should_consider_respondent_s_income_to_be (0.37 conf)
per_month was per_month_for (0.22 conf)
page__13 was page_13_of_21 (0.42 conf)
page_check__94 was page_12_check_0 (0.33 conf)
receive_public_assistance__1 was petitioner_does_receive_or_has_received_public_assistance (0.54 conf)
page_check__95 was page_12_check_2 (0.26 conf)
receive_public_assistance__2 was respondent_does_receive_or_has_received_public_assistance (0.54 conf)
minimum_wage was minimum_wage (0.49 conf)
historical_earnings was historical_earnings (0.35 conf)
page_check__96 was page_12_check_6 (0.26 conf)
page_check__97 was page_12_check_7 (0.26 conf)
one was one (0.45 conf)
sole_physical_custody was sole_physical_custody_worksheet (0.41 conf)
joint_physical_custody was joint_physical_custody_worksheet (0.40 conf)
split_custody_worksheet was split_custody_worksheet (0.44 conf)
c_child_support_worksheets was c_child_support_worksheets (0.41 conf)
explain_choice was explain_your_choice (0.36 conf)
page_field__38 was page_13_field_1 (0.36 conf)
signature_date was date (1.00 conf)
page_field__39 was page_13_field_3 (0.36 conf)
ask_direct_payment_utah_code was i_ask_for_direct_payment_because__utah_code_62a_11_404 (0.37 conf)
page__14 was page_14_of_21 (0.42 conf)
amount_based_uniform_guidelines was this_amount_is_based_on_the_uniform_child_support_guidelines__utah_code (0.34 conf)
amount_uniform_guidelines was this_amount_is_not_based_on_the_uniform_child_support_guidelines_and_i_am (0.37 conf)
first_day_following_order was the_first_day_of_the_month_following_entry_of_the_order_on_petition_to_modify (0.35 conf)
as_of was as_of (0.39 conf)
mandatory_income_withholding was mandatory_income_withholding_by_the_office_of_recovery_services__ors (0.42 conf)
payments_receiving_choose was direct_payments_to_the_parent_receiving_child_support_by__choose_one (0.42 conf)
guidelines_unjust was the_guidelines_are_unjust (0.41 conf)
guidelines_inappropriate was the_guidelines_are_inappropriate (0.32 conf)
guidelines_amount_best_interest was the_guidelines_amount_is_not_in_the_best_interest_of_the_child_ren (0.39 conf)
check was check (0.37 conf)
deposit_bank_account was deposit_in_bank_account (0.44 conf)
cashier_check_money_order was cashier_s_check_or_money_order (0.33 conf)
page_check__98 was page_13_check_12 (0.26 conf)
g_payment_schedule was g_payment_schedule (0.33 conf)
page_field__40 was page_14_field_1 (0.36 conf)
page_field__41 was page_14_field_2 (0.36 conf)
h_delinquent_payments was h_delinquent_payments (0.32 conf)
immediately_receiving_pays was monthly_basis_immediately_after_receiving_proof_from_the_parent_that_pays_the (0.42 conf)
one_half_th_day_month was one_half_by_the_5th_day_of_each_month__and_the_other_half_by_the_20th_day (0.40 conf)
page_check__99 was page_14_check_1 (0.26 conf)
child_care_expenses_utah_code was child_care_expenses__utah_code_78b_12_214 (0.45 conf)
request_child_care_payment was other_request_for_child_care_payment (0.40 conf)
page_field__42 was page_15_field_1 (0.36 conf)
support__2 was other_support (0.41 conf)
page_field__43 was page_15_field_3 (0.36 conf)
chip was chip (0.30 conf)
page__15 was page_16_of_21 (0.42 conf)
page_check__100 was page_15_check_0 (0.33 conf)
insurance_medical_expenses_utah was health_insurance__medical_and_dental_expenses__utah_code_78b_12_212 (0.39 conf)
petitioner_insurance was petitioner_s_insurance (0.37 conf)
respondent_insurance was respondent_s_insurance (0.37 conf)
medicaid was medicaid (0.41 conf)
page_check__101 was page_15_check_5 (0.26 conf)
page_check__102 was page_15_check_6 (0.26 conf)
covered_insurance was not_covered_by_insurance (0.41 conf)
page_check__103 was page_15_check_8 (0.26 conf)
page_check__104 was page_15_check_9 (0.26 conf)
page_check__105 was page_15_check_10 (0.26 conf)
reasons was other_reasons (0.35 conf)
page_field__44 was page_16_field_1 (0.36 conf)
additional_orders_medical was i_ask_for_these_additional_orders_regarding_health_insurance_and_medical_and (0.35 conf)
dental_expenses was dental_expenses (0.40 conf)
page_field__45 was page_16_field_4 (0.36 conf)
dependents_tax_purposes__1 was claiming_children_as_dependents_exemptions_for_tax_purposes__utah_code (0.40 conf)
dependents_tax_purposes__2 was will_claim_the_children_as_dependents_exemptions_for_tax_purposes (0.49 conf)
dependents_tax_purposes__3 was will_claim_the_children_as_dependents_exemptions_for_tax_purposes_in (0.44 conf)
even_years was even_years__and (0.37 conf)
page__16 was page_17_of_21 (0.42 conf)
cost_insurance_reasonable was the_cost_of_the_insurance_is_reasonable (0.36 conf)
ask_order_choose_apply was i_ask_for_this_order_because__choose_all_that_apply (0.40 conf)
petitioner_respondent was the_insurance_is_available_to_petitioner_respondent (0.44 conf)
page_check__106 was page_16_check_3 (0.26 conf)
custodial_parent_prefers was the_custodial_parent_prefers_this_arrangement (0.45 conf)
page_check__107 was page_16_check_5 (0.26 conf)
page_check__108 was page_16_check_6 (0.26 conf)
page_check__109 was page_16_check_7 (0.26 conf)
page_check__110 was page_16_check_8 (0.26 conf)
page_check__111 was page_16_check_9 (0.26 conf)
page_check__112 was page_16_check_10 (0.26 conf)
page_field__46 was page_17_field_0 (0.31 conf)
ask_court_additional_orders was i_ask_the_court_for_these_additional_orders (0.37 conf)
page_field__47 was page_17_field_2 (0.36 conf)
ask_additional_orders was i_ask_for_these_additional_orders_because (0.36 conf)
page_field__48 was page_17_field_4 (0.36 conf)
page_field__49 was page_17_field_5 (0.36 conf)
page__17 was page_18_of_21 (0.42 conf)
dependents_tax_purposes__4 was claiming_children_as_dependents_exemptions_for_tax_purposes_will_be (0.48 conf)
page_check__113 was page_17_check_1 (0.26 conf)
attorney_fees_costs was attorney_fees_and_costs (0.45 conf)
page_check__114 was page_17_check_3 (0.26 conf)
page_check__115 was page_17_check_4 (0.26 conf)
page_check__116 was page_17_check_5 (0.26 conf)
page_check__117 was page_17_check_6 (0.26 conf)
page_check__118 was page_17_check_7 (0.26 conf)
page_check__119 was page_17_check_8 (0.26 conf)
page_check__120 was page_17_check_9 (0.26 conf)
page_check__121 was page_17_check_10 (0.26 conf)
page_check__122 was page_17_check_11 (0.26 conf)
page_check__123 was page_17_check_12 (0.26 conf)
page_check__124 was page_17_check_13 (0.26 conf)
remainder_order_unchanged__1 was 30_remainder_of_order_unchanged (0.39 conf)
remainder_order_unchanged__2 was the_remainder_of_the_order_should_remain_unchanged (0.35 conf)
page__18 was page_19_of_21 (0.42 conf)
never_provided_paragraph was has_never_provided_child_support_services_for_any_child_listed_in_paragraph_5 (0.41 conf)
providing_child_services was has_or_is_providing_child_support_services_for_any_child_listed_in_paragraph_5 (0.41 conf)
cover_sheet was cover_sheet (0.33 conf)
summons was summons (0.34 conf)
public_information_location was non_public_information_parent_information_and_location (0.48 conf)
non_public_information was non_public_information_minors (0.40 conf)
public_address_applicable was non_public_information_safeguarded_address__if_applicable (0.46 conf)
disclosure_requirements_cases was notice_of_disclosure_requirements_in_domestic_relations_cases (0.36 conf)
notice_child_attorney was notice_to_child_support_division_of_the_office_of_the_attorney_general_and (0.43 conf)
child_support_obligation was child_support_obligation_worksheet (0.40 conf)
plan_joint_requested was parenting_plan__required_if_joint_custody_is_requested (0.35 conf)
signed was signed_at (0.36 conf)
city_state_country was city__and_state_or_country (0.47 conf)
page_field__50 was page_19_field_2 (0.36 conf)
users1_signature was signature (1.00 conf)
page_field__51 was page_19_field_4 (0.36 conf)
page_field__52 was page_19_field_5 (0.36 conf)
page_field__53 was page_19_field_6 (0.36 conf)
page__19 was page_20_of_21 (0.42 conf)
page_field__54 was page_20_field_0 (0.31 conf)
page_field__55 was page_20_field_1 (0.36 conf)
page_field__56 was page_20_field_2 (0.36 conf)
page_field__57 was page_20_field_3 (0.36 conf)
page_field__58 was page_20_field_4 (0.36 conf)
page_field__59 was page_20_field_5 (0.36 conf)
page_field__60 was page_20_field_6 (0.36 conf)
page__20 was page_21_of_21 (0.42 conf)
received_petition_supporting was i_have_received_and_read_the_petition_and_its_supporting_documents (0.33 conf)
stipulation_optional was stipulation__optional (0.33 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

users1_name
users1_address_line_one
city_state_zip
users1_phone_number
email
af_f
page_field__1
county
judicial_district
petition_child_custody
docket_number
judge
name_petitioner
commissioner
name_respondent
parties
page__1
petitioner_attorney
page_check__1
petitioner_practitioner
respondent_practitioner
marriage_divorce_without
establish_custody_parent
parentage_children
respondents1_name
respondent_attorney
stipulation
no
state_country
page__2
attached_copy_current_order
utah_court
yes
page_check__2
page_check__3
page_check__4
page_check__5
page_check__6
page_check__7
page_check__8
page_check__9
page_check__10
date_transferred
name_court
describe_happened_order
order_registered_purposes
page_field__2
page__3
never_another_state
jurisdiction_another_state
page_check__11
jurisdiction_never_utah
jurisdiction_transferred_date
page_check__12
substantial_children_care
courts_decision_jurisdiction
page_check__13
non_utah_court
person_pays_child_support
person_child_support
mother
father
legal_guardian_custodian
person_acting_parent_utah_code
minor_children
page__4
stated_controlling_order
described
other
page__5
custody__1
parent_time
page_check__14
page_check__15
page_check__16
page_check__17
cases_involve_children_case
following_cases_case
adoption
page_check__18
delinquency
divorce
enforcement
grandparent_visitation
guardianship
modification
parentage
protective_order
support__1
termination_parental
page_check__19
page_field__3
page_field__4
follows_quote_exactly
page_field__5
page_field__6
page__6
page_check__20
page_check__21
page_check__22
page_check__23
page_check__24
page_check__25
page_check__26
page_check__27
page_check__28
page_check__29
grandparent
page_check__30
page_check__31
page_check__32
page_check__33
page_check__34
page_check__35
page_check__36
page_check__37
page_check__38
page_check__39
page_check__40
page_check__41
page_check__42
page_check__43
page_check__44
party_agrees_petition
dispute_required_petition
good_dispute_process
parties_dispute_process
according_parent_time
described_attached_controlling_parenting_plan
page_check__45
child_custody
additional_pages_needed
page_field__7
page_field__8
proposed_custody_order
joint_requires_plan
custody_describe_detail
page_field__9
page__7
page_field__10
petitioners1_name
page_check__46
joint_physical
page_check__47
page_check__48
page_check__49
page_check__50
page_check__51
page_check__52
page_check__53
page_check__54
page_check__55
page_check__56
page_check__57
page_check__58
page_check__59
page_check__60
joint_legal
page_check__61
page_check__62
page_check__63
page_check__64
page_check__65
page_check__66
page_check__67
page_check__68
page_check__69
page_check__70
page_check__71
page_check__72
page_check__73
page_field__11
page_field__12
page_field__13
page_field__14
time_describe_detail
page_field__15
page_field__16
parent_time_transfers
order_pick_drop_parent
adult_name
transferring_children_address
page__8
statutory_parent_time
parent_time_filed
page_check__74
attach_statute_option_choose
children_utah_code
expanded_schedule_utah
relocation_utah_code
parent_time_described
beginning_parent_time
page_check__75
page_check__76
page_check__77
transfers_picking_dropping
page_field__17
transfer_describe_detail
page_field__18
time_transportation_costs_choose_one
follows_additional_needed
page_field__19
transportation_costs_choose
needed
page__9
page_check__78
page_check__79
page_check__80
page_check__81
page_check__82
relocation_statute_utah_code
page_check__83
pays_reimbursable_expenses__1
regarding_follows_additional
respondent__1
petitioner
page_field__20
page_field__21
page_field__22
page_field__23
page_field__24
page_field__25
method_describe_detail
page__10
person
page_check__84
text
page_check__85
third_party
page_check__86
communication_parties
parties_must_civil
must_negative_harmful_remarks
must_discuss_presence_minor
must_harm_threaten_parent
travel_costs
respondent__2
pays_reimbursable_expenses__2
page_field__26
check_complete_asking
miles
terms_relocating
page_field__27
page_field__28
best_interest_utah_code
best_interest_change_time
explain_detail
page__11
page_field__29
agree_attached_parenting_plan
proposed_attached_plan
party_responsible_costs
page_check__87
page_check__88
relocation_parent
either_parent_moves_miles_utah
neither_may_relocate_minor
page_check__89
page_field__30
page_field__31
child_support
page_field__32
page_field__33
page_field__34
page_field__35
page__12
within_last_three_years
one_changes_affect_support
custody__2
wealth_assets_parties
income_parent
employment_potential_ability
medical_needs_child
legal_responsibilities_others
page_check__90
change
availability_coverage_cost
related_child_care_expenses
payor_payee
page_check__91
page_check__92
page_check__93
current_child_support_order
month_child_support
page_field__36
income_sources
court_consider_petitioner
is
page_field__37
court_consider_respondent
per_month
page__13
page_check__94
receive_public_assistance__1
page_check__95
receive_public_assistance__2
minimum_wage
historical_earnings
page_check__96
page_check__97
one
sole_physical_custody
joint_physical_custody
split_custody_worksheet
c_child_support_worksheets
explain_choice
page_field__38
signature_date
page_field__39
ask_direct_payment_utah_code
page__14
amount_based_uniform_guidelines
amount_uniform_guidelines
first_day_following_order
as_of
mandatory_income_withholding
payments_receiving_choose
guidelines_unjust
guidelines_inappropriate
guidelines_amount_best_interest
check
deposit_bank_account
cashier_check_money_order
page_check__98
g_payment_schedule
page_field__40
page_field__41
h_delinquent_payments
immediately_receiving_pays
one_half_th_day_month
page_check__99
child_care_expenses_utah_code
request_child_care_payment
page_field__42
support__2
page_field__43
chip
page__15
page_check__100
insurance_medical_expenses_utah
petitioner_insurance
respondent_insurance
medicaid
page_check__101
page_check__102
covered_insurance
page_check__103
page_check__104
page_check__105
reasons
page_field__44
additional_orders_medical
dental_expenses
page_field__45
dependents_tax_purposes__1
dependents_tax_purposes__2
dependents_tax_purposes__3
even_years
page__16
cost_insurance_reasonable
ask_order_choose_apply
petitioner_respondent
page_check__106
custodial_parent_prefers
page_check__107
page_check__108
page_check__109
page_check__110
page_check__111
page_check__112
page_field__46
ask_court_additional_orders
page_field__47
ask_additional_orders
page_field__48
page_field__49
page__17
dependents_tax_purposes__4
page_check__113
attorney_fees_costs
page_check__114
page_check__115
page_check__116
page_check__117
page_check__118
page_check__119
page_check__120
page_check__121
page_check__122
page_check__123
page_check__124
remainder_order_unchanged__1
remainder_order_unchanged__2
page__18
never_provided_paragraph
providing_child_services
cover_sheet
summons
public_information_location
non_public_information
public_address_applicable
disclosure_requirements_cases
notice_child_attorney
child_support_obligation
plan_joint_requested
signed
city_state_country
page_field__50
users1_signature
page_field__51
page_field__52
page_field__53
page__19
page_field__54
page_field__55
page_field__56
page_field__57
page_field__58
page_field__59
page_field__60
page__20
received_petition_supporting
stipulation_optional

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

Petition to Modify Child Custody, Parent-time and Child Support

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