I am   [  ]  Plaintiff or employee of plaintiff 

[  ]  Plaintiff’s Attorney 

  (Utah Bar #:__________) 

In the ______________________________  Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________ 
Plaintiff/Petitioner 

Motion for Default Judgment  
Online Dispute Resolution Case 

_______________________________ 
Case Number 

_____________________________________ 
Defendant/Respondent 

_______________________________ 
Judge 

The Affidavit and Summons were served on _____________________ (date) and 
proof of service has been filed. 

The time in which to register online or seek an exemption has passed (Utah 
Supreme Court Standing Order No. 13, paragraph 4), and the 

has not registered online or sought an exemption. 

3. 

The military status of the defaulting party is 

[  ]  plaintiff 

[  ]  defendant 

[  ]  in military service. 

[  ]  not in military service. 

[  ]  unknown to me. 

2011SC Revised June 28, 2019 

Motion for Default Judgment 
Online Dispute Resolution Case 

Page 1 of 3 

ity, State, Zip 

 
Name 

ddress 

hone 

mail 

  A

  C

  P

  E

v. 

1. 

2. 

 

My statement about the defaulting party's military status is based on the 
following: 
(For example: "John Doe is 88 years old which is too old to be in the military. I've lived with him 
for the past twenty years. I personally know he has not been in the military during those twenty 
years. He has worked full-time as a janitor in Salt Lake City for the past five years.") 

5.  

Under Utah Supreme Court Standing Order No. 13, paragraph 4(c), the 

$ 

$ 

$ 

$ 

lus, the amount I paid to file this claim  

lus, the amount I paid to serve claim  

Equals, the total amount I am seeking 

plus prejudgment interest, if qualified.  

Principal 

  P

  P

asks the court to enter a default judgment in the amount of: 

[  ]  plaintiff 

[  ]  defendant 

6. 

I am entitled to judgment as a matter of law. 

 declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Signature ► 

Printed Name 

 

 

2011SC Revised June 28, 2019 

Motion for Default Judgment 
Online Dispute Resolution Case 

Page 2 of 3 

         

. 

  4

 

  I

 

 
Date 

I certify that I filed with the court and am serving a copy of this Motion for Default Judgment – Online 
Dispute Resolution Case 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 

 

 

 

 

 

 

 

 
Date 

 

2011SC Revised June 28, 2019 

Motion for Default Judgment 
Online Dispute Resolution Case 

Page 3 of 3