__________________________________ 
Petitioner’s Name 

__________________________________ 
Address (may be omitted for privacy) 

__________________________________ 
City, State, ZIP 

__________________________________ 
Telephone (may be omitted) 
 

IN THE ____________________ DISTRICT JUVENILE COURT 

__________________________________ COUNTY, STATE OF UTAH 

 

 

__________________________________ 

Petitioner, 

 vs. 

__________________________________ 

Respondent 

NOTICE OF DENIAL 
OF EX PARTE 
CHILD PROTECTIVE ORDER 

Case No. __________________________ 

Judge _____________________________ 

Based on the information presented, and under Utah Code sections 78B-7-201 to 207, the 

Court finds that the requirements indicated below have not been met, and the request for an Ex 
Parte Child Protective Order is DENIED.  

[___]  Petitioner did not first make a referral of abuse or neglect to the Division of Child and 

Family Services based upon the incidents alleged in the petition. 

[___]  Based on the information presented, the Court finds that the child is not being, or is 

not in imminent danger of being, physically abused or sexually abused. 

Other: ___________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 
_________________________________________________________________________ 

Form Approved July 13, 2012 by Board of 
Juvenile Court Judges / Revised July 8, 2020 

Notice of Denial of Ex Parte Protective Order 

Page 1 

 

______________________________________ 
JUVENILE COURT JUDGE 

Y THE COURT: 

    B

PETITIONER: IF YOUR PETITION IS DENIED, YOU MAY REQUEST A 

HEARING TO OCCUR WITHIN 20 DAYS TO SHOW, BY A PREPONDERANCE OF 
THE EVIDENCE, THAT A PROTECTIVE ORDER SHOULD BE ISSUED BECAUSE 
THE CHILD IS BEING, OR IS IN IMMINENT DANGER OF BEING, PHYSICALLY 
ABUSED OR SEXUALLY ABUSED. 

ATED: ___________________________ TIME: _____________________________ 

 

  D

 

   

  

Form Approved July 13, 2012 by Board of 
Juvenile Court Judges / Revised July 8, 2020 

Notice of Denial of Ex Parte Protective Order 

Page 2