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Utah Juvenile Court Cover Sheet 

Interpretation. If you do not speak or understand 
English, the court will provide an interpreter. 
Contact court staff immediately to ask for an 
interpreter. 

Interpretación. Si usted no habla ni entiende el Inglé  
el tribunal le proveerá un intérprete. Contacte a un 
empleado del tribunal inmediatamente para pedir un 
intérprete. 

Respondent 

ame 

ddress 

ity, State, Zip 

 
Phone 

ame 

ar Number 

  N

  A

  C

  N

  B

 
 

 
Email 

 
 

 
Email 

Petitioner’s Attorney* 

Respondent’s Attorney* 

Schedule of Fees: §78A-2-301 (Choose all that apply.) 

State Petition (no filing fees) 

Private Petition 

Case Type 
[  ]  Child Welfare Petition 
[  ]  Termination of Parental Rights 
[  ]  Voluntary Relinquishment 
[  ]  Adoption 

*Attorney addresses provided by Utah State Bar. 

Fee  Case Type 
$375 
$375 
$8 
$375 
$375 
$240 
$5 
$0 
$50 
$0 

[  ]  Child Welfare Petitions (abuse, neglect, terminations) 
[  ]  Adoptions 
[  ]  Vital Statistics Fee (per child) 
[  ]  Administrative Appeals 
[  ]  Petition for Substantiation 
[  ]  Notice of Appeal 
[  ]  Petition to Marry 
[  ]  Petition for Expungement 
[  ]  Petition for Emancipation 
[  ]  Petition for Protective Order on Behalf of 

 

Children 

 

Petitioner 

ame 

ddress 

ity, State, Zip 

 
Phone 

ame 

ar Number 

  N

  A

  C

  N

  B

 

 

 

Revised July 1, 2020 

Juvenile Court Cover Sheet 

Page 1 

hild 1 (Include information for each child named in the petition) 

Name of child: ______________________________________________________ 
Address: __________________________________________________________ 
Date of birth: __________________________ 

f child welfare petition, allegation is against 
[  ] Parent ____________________________________________________ (Name) 
[  ] Parent ____________________________________________________ (Name) 
[  ] Other _____________________________________________________ (Name) 

Name of Parent 1 and Address (if petition relates to a child): 
__________________________________________________________________ 
Name of Parent 2 and Address (if petition relates to a child): 
__________________________________________________________________ 
Child’s Attorney Name, Bar # and Address: 
___________________________________________________________________ 

hild 2 (Include information for each child named in the petition) 

Name of child: ______________________________________________________ 
Address: __________________________________________________________ 
Date of birth: __________________________ 

If child welfare petition, allegation is against 
[  ] Parent ____________________________________________________ (Name) 
[  ] Parent ____________________________________________________ (Name) 
[  ] Other _____________________________________________________ (Name) 

Name of Parent 1 and Address (if petition relates to a child): 
__________________________________________________________________ 
Name of Parent 2 and Address (if petition relates to a child): 
__________________________________________________________________ 
Child’s Attorney Name, Bar # and Address: 
___________________________________________________________________ 

Child’s Race  
(Choose all that apply) 

[  ]  American Indian 
[  ]  Pacific Islander 
[  ]  Asian 
[  ]  White 
[  ]  Black/African Am 
[  ]  Unknown 

Child’s Ethnicity 
(Choose only one) 

[  ]  Latino/Hispanic 
[  ]  Not Latino/Hispanic 
[  ]  Unknown 

Child’s Gender 
(Choose only one) 

[  ]  Male 
[  ]  Female 
[  ]  Other 

Child’s Race  
(Choose all that apply) 

[  ]  American Indian 
[  ]  Pacific Islander 
[  ]  Asian 
[  ]  White 
[  ]  Black/African Am 
[  ]  Unknown 

Child’s Ethnicity 
(Choose only one) 

[  ]  Latino/Hispanic 
[  ]  Not Latino/Hispanic 
[  ]  Unknown 

Child’s Gender 
(Choose only one) 

[  ]  Male 
[  ]  Female 
[  ]  Other 

xpungement Petitions 

Provide the following information for the prosecutor’s office (city attorney, county attorney, or district 
attorney) that prosecuted the case. (If more than one, list all.) 
 

Name 

Address 

 

 

 

Revised July 1, 2020 

Juvenile Court Cover Sheet 

Page 2 

 

  C

  I

    C

  E

Utah Juvenile Court Cover Sheet - Revised July 2020

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 2
Fields(s): 78
Average fields per page: 39
Reading Level: Grade 11
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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petitioners1_name was petitioner (1.00 conf)
users1_name was name (1.00 conf)
page_field__1 was page_0_field_3 (0.31 conf)
users1_address_line_one was address (1.00 conf)
page_field__2 was page_0_field_5 (0.31 conf)
email was email (0.38 conf)
city_state_zip was city__state__zip (0.35 conf)
page_field__3 was page_0_field_8 (0.31 conf)
page_field__4 was page_0_field_9 (0.31 conf)
respondent_attorney was respondent_s_attorney (0.40 conf)
petitioner_attorney was petitioner_s_attorney (0.40 conf)
page_field__5 was page_0_field_12 (0.31 conf)
page_field__6 was page_0_field_13 (0.31 conf)
page__1 was page_1 (0.35 conf)
child_welfare_petition was child_welfare_petition (0.45 conf)
termination_parental_rights was termination_of_parental_rights (0.42 conf)
voluntary_relinquishment was voluntary_relinquishment (0.32 conf)
adoption was adoption (0.32 conf)
child_abuse_terminations was child_welfare_petitions__abuse__neglect__terminations (0.40 conf)
adoptions was adoptions (0.42 conf)
vital_statistics_fee_per_child was vital_statistics_fee__per_child (0.30 conf)
administrative_appeals was administrative_appeals (0.39 conf)
petition_substantiation was petition_for_substantiation (0.47 conf)
notice_appeal was notice_of_appeal (0.45 conf)
petition_marry was petition_to_marry (0.48 conf)
petition_expungement was petition_for_expungement (0.51 conf)
petition_emancipation was petition_for_emancipation (0.32 conf)
petition_order_behalf was petition_for_protective_order_on_behalf_of (0.39 conf)
name_child was name_of_child (0.44 conf)
page_field__7 was page_1_field_1 (0.36 conf)
child_petition_allegation was if_child_welfare_petition__allegation_is_against (0.44 conf)
page_field__8 was page_1_field_3 (0.36 conf)
page_field__9 was page_1_field_4 (0.36 conf)
page_field__10 was page_1_field_5 (0.36 conf)
parent_address_relates_child__1 was name_of_parent_1_and_address__if_petition_relates_to_a_child (0.48 conf)
parent_address_relates_child__2 was name_of_parent_2_and_address__if_petition_relates_to_a_child (0.48 conf)
child_attorney_name_address was child_s_attorney_name__bar_and_address (0.39 conf)
page_field__11 was page_1_field_9 (0.36 conf)
page_field__12 was page_1_field_10 (0.36 conf)
page_field__13 was page_1_field_11 (0.36 conf)
page_field__14 was page_1_field_12 (0.36 conf)
page_field__15 was page_1_field_13 (0.36 conf)
page_field__16 was page_1_field_14 (0.36 conf)
page_field__17 was page_1_field_15 (0.36 conf)
page_field__18 was page_1_field_16 (0.36 conf)
page_field__19 was page_1_field_17 (0.36 conf)
page__2 was page_2 (0.35 conf)
parent was parent (0.35 conf)
page_check__1 was page_1_check_1 (0.26 conf)
other was other (0.43 conf)
page_check__2 was page_1_check_3 (0.26 conf)
page_check__3 was page_1_check_4 (0.26 conf)
page_check__4 was page_1_check_5 (0.26 conf)
american_indian was american_indian (0.48 conf)
pacific_islander was pacific_islander (0.40 conf)
asian was asian (0.45 conf)
white was white (0.31 conf)
black_african was black_african_am (0.41 conf)
unknown was unknown (0.43 conf)
latino_hispanic__1 was latino_hispanic (0.32 conf)
latino_hispanic__2 was not_latino_hispanic (0.33 conf)
page_check__5 was page_1_check_14 (0.26 conf)
male was male (0.40 conf)
female was female (0.38 conf)
page_check__6 was page_1_check_17 (0.26 conf)
page_check__7 was page_1_check_18 (0.26 conf)
page_check__8 was page_1_check_19 (0.26 conf)
page_check__9 was page_1_check_20 (0.26 conf)
page_check__10 was page_1_check_21 (0.26 conf)
page_check__11 was page_1_check_22 (0.26 conf)
page_check__12 was page_1_check_23 (0.26 conf)
page_check__13 was page_1_check_24 (0.26 conf)
page_check__14 was page_1_check_25 (0.26 conf)
page_check__15 was page_1_check_26 (0.26 conf)
page_check__16 was page_1_check_27 (0.26 conf)
page_check__17 was page_1_check_28 (0.26 conf)
page_check__18 was page_1_check_29 (0.26 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Utah Juvenile Court Cover Sheet - Revised July 2020

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02