City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email 

 
 

 
 

 
 

 
 

 

I am   [  ]  Plaintiff 

[  ]  Plaintiff’s Attorney 
[  ]  Plaintiff’s Licensed Paralegal Practitioner  

(Utah Bar #:__________) 
(Utah Bar #:__________) 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

__________________________________ 
Plaintiff 

Order of Restitution 

v. 

_____________________________ 
Case Number 

____________________________________ 
Defendant 

____________________________ 
Judge 

To the defendants(s):   

Within _________calendar days following service of this Order of Restitution you are 
ordered to move out of the premises located at  

_______________________________________________________________(address).   

Move out means leave the premises, take all your belongings and leave any keys or 
access cards. You and any person claiming a right to occupy through you must move 
out and allow the plaintiff to regain possession of the premises.   

If you do not follow this order, you may be forcibly removed from the property by the 
sheriff or a constable, using the least destructive means possible to remove you, your 
personal property and any persons who claim to have received a right to occupancy 
from you. 

1200EVJ Approved December 18, 2017 
/ Revised May 11, 2020 

 

Order of Restitution 

Page 1 of 2 

Your rights after eviction 

Even though you are being evicted you still have rights. Your landlord must give you the 
following property back within 5 business days, without requiring you to pay anything: 

 clothing 
 identification 
 financial documents, including all those related to your immigration or employment 

 documents about the receipt of public services, and 
 medical information, prescription medications, and any medical equipment required 

for maintenance of medical needs 

ou can get your other belongings back, but you must make a written request to your 
landlord within 15 calendar days after your eviction. Your landlord can charge you a 
reasonable storage and moving fee.  

You have the right to a hearing to dispute the way this order may be enforced and to 
assert your rights. A Request for Hearing Regarding Enforcement of an Order of 
Restitution must be served on you along with this order.   

Your request for a hearing will not stop enforcement of this order unless the court has 
ordered a stay of this order and an appropriate bond has been posted in an amount 
approved by the court. (Utah Code 78B-6-812(2)(b) and 78B-6-808(4)(b)) 

Update the court and the landlord with your contact information 

The landlord could file paperwork in your case asking for a money judgment and could 
file paperwork asking to increase the judgment amount. Update your contact information 
so you will receive what is being filed and have the opportunity to respond.  

To the sheriff or constable: 

If the defendant(s) are served with this order and fail to vacate the property as ordered, 
you are ordered to enter the premises by force using the least destructive means 
possible to remove the defendant(s), any personal property of the defendants and any 
persons claiming a right to occupancy from the defendant(s). 

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

status 

  Y

 
Date 

 

 

Signature ► 

 

 

Judge 

1200EVJ Approved December 18, 2017 
/ Revised May 11, 2020 

 

Order of Restitution 

Page 2 of 2