City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email  

 

 
 
 
 
 
 
 
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) 

____________________________________ 
(name of Petitioner) 

and  

 

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

Request to Join the Office of 
Recovery Services (ORS) 
(Utah Code 78B-12-113(2)(b)(i)) 

_______________________________ 
Case Number 

_______________________________ 
Judge 

_______________________________ 
Commissioner 

To the Child Support Division of the Office of the Attorney General, 

1. 

Enclosed is my Petition or Counterpetition. 

2.  

Child support services under Title IV of the Social Security Act have been or are 

1131FAJ Approved April 27, 2020 / 
Revised May 1, 2022 
 

Request to Join the Office of Recovery Services (ORS) 

Page 1 of 3 

being provided through the Utah Office of Recovery Services and on behalf of a 
child who is the subject of this action. 

3. 

I ask ORS to join this action. 

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 

    A

 
Date 

1131FAJ Approved April 27, 2020 / 
Revised May 1, 2022 
 

Request to Join the Office of Recovery Services (ORS) 

Page 2 of 3 

 

 

 

 

 
Date 

 

I certify that I filed with the court and am serving a copy of this Request to Join the Office of Recovery 
Services (ORS) on the following people. 

Certificate of Service 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

 

 

 

 

 

 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email  
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

Signature ► 

Printed Name 

 

 

1131FAJ Approved April 27, 2020 / 
Revised May 1, 2022 
 

Request to Join the Office of Recovery Services (ORS) 

Page 3 of 3