City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email  

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

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) 

Notice of Confirmation of Foreign 
Child Custody or Parent-Time Order, 
or Support or Income Withholding 
Order 
(Utah Code 78B-13-305(5) and 78B-14-614) 

_______________________________ 
Case Number 

____________________________________ 
(name of Petitioner) 

_______________________________ 
Judge 

and  

 

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

_______________________________ 
Commissioner 

To: 

The people named in the Request to Register Foreign Child Custody or Parent-
Time Order, or Support or Income Withholding Order 

There was no request for a hearing to contest the validity of the registered order. The 
attached order is confirmed as a judgment of this court as a matter of law. 

Notice: 

Date 

 

Signature ► 

Court Clerk 

1254FAJ Approved January 27, 2020 / 
Revised May 1, 2022 
 

Notice of Confirmation of Foreign Child Custody or Parent-Time 
Order, or Support or Income Withholding Order 

Page 1 of 2 

 

 

 

 

 

 

 

 
Date 

 

Certificate of Service 

I certify that I filed with the court and am serving a copy of this Notice of Confirmation of Foreign Order on 
the following people. 

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 

 

 

1254FAJ Approved January 27, 2020 / 
Revised May 1, 2022 
 

Notice of Confirmation of Foreign Child Custody or Parent-Time 
Order, or Support or Income Withholding Order 

Page 2 of 2