Case Number ______________ District ___ 
County ____________________ State: Utah 
Judge ______________________________ 
Commissioner  _______________________ 

This is a private record. 

A court hearing has been scheduled on the date listed below. The Court will make a 
decision on the   [  ] Petitioner’s Request to Dismiss Protective Order   [  ] Respondent’s Request to 
Vacate Temporary Protective Order   [  ] Respondent’s Request to Dismiss Protective Order 
(issued more than 2 years ago).  If you do not go to the hearing, the Court can make orders without 
listening to your side. You may have an attorney present at the hearing. 

Date:  __________________  Time: ________  [  ] a.m. [  ] p.m.    Judicial Officer:  _________________________________   

Address: 

Date:  

 

 
______________________________________   
    District Court Clerk  

 Room:  _______________________   

[  ]  A copy of this Notice of Hearing for Petitioner’s Request to Dismiss Protective Order was mailed to the 
Respondent at the address below:   

Respondent’s mailing address:  

[  ]  Respondent must notify the Petitioner by asking the sheriff or constable to hand-deliver a copy of this 
Notice of Hearing and of Respondent’s Request to Dismiss Protective Order (issued more than 2 years ago OR of 
Respondent’s Request to Vacate Temporary Protective Order.  If the Respondent cannot provide Petitioner’s 
address to the sheriff or constable, the court clerk will provide directions about what to do.   

Best place to serve Petitioner:   

___________    Petitioner’s phone:  ______________ 

Date:  

   Clerk’s Signature:    

 

 

 

 
(Print Clerk’s name here)    

Disability and Interpreter Services   Assistive listening systems, sign language and oral language interpreter services are 
available at no charge in protective order proceedings. Contact the clerk’s office at least 5 days before your hearing.   

Notice of Hearing on Request to Dismiss or Vacate Protective Order  

Approved Board of District Court Judges May 21, 2008 
Revised December 22, 2015 

Page 1 of 1 

  T

 

 

   

   

Notice of Hearing on Request to 
Dismiss or Vacate Protective 
Order 

 
Petitioner (person who asked for the protective order):  
 

First  
 

Middle  

Last 

 

Respondent (person Petitioner asked to be protected 
from):  
 

First  

Middle  

Last 

O:  Petitioner and Respondent