City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email 

 

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

I am:  [  ]  Petitioner's Spouse 

 
 
 

[  ]  Adoptee 
[  ]  Adoptee's Parent 
[  ]  Adoptee's Court-Appointed Guardian 
[  ]  Adoptee's Court-Appointed Conservator 
[  ]  A party who was served Notice of Petition for Adoption 
[  ]  Other ________________________________________________________ 
[  ]  Attorney for: _____________________________________________ (Utah Bar #:__________) 

 
 

 

 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

In the matter of the adoption of 

_____________________________________ 
Adoptee 

_______________________________ 
Case Number 

Motion to Intervene in Adoption  
(Utah Code 78B-6-110 and Utah Rule of Civil 
Procedure 24) 

[  ] Hearing Requested 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

1. 

I am:    

[  ]  petitioner's spouse   
[  ]  adoptee (if adoptee is more than 12 and has the mental capacity to consent)   
[  ]  adoptee's parent 

 

1020ADF Approved October19, 2020 
 

Motion to Intervene in Adoption 

Page 1 of 4 

[  ]  adoptee's court-appointed guardian   
[  ]  adoptee's court-appointed conservator 
[  ]  a party who was served Notice of Petition for Adoption 
[  ]  other 

 

My relationship with the child is (describe.): 

I ask to be able to participate (intervene) as a party in this adoption. 

I oppose the adoption. I want to intervene because: 

5. 

[  ] I request a hearing. 

[  ] I do not request a hearing. 

oving Party 

ttorney of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

 

 

   

2. 

 

3. 

4. 

 

  M

  A

 

 
Date 

Date 
 

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

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

1020ADF Approved October19, 2020 
 

Motion to Intervene in Adoption 

Page 2 of 4 

otice to responding party 

You have a limited amount of time to 
respond to this motion. In most cases, you 
must file a written response with the court 
and provide a copy to the other party: 
• within 14 days of this motion being 

filed, if the motion will be decided by a 
judge, or 

• at least 14 days before the hearing, if 

the motion will be decided by a 
commissioner. 

Aviso para la parte que responde 
Su tiempo para responder a esta moción 
es limitado. En la mayoría de casos 
deberá presentar una respuesta escrita 
con el tribunal y darle una copia de la 
misma a la otra parte: 

• dentro de 14 días del día que se 

presenta la moción, si la misma será 
resuelta por un juez, o 

• por lo menos 14 días antes de la 

audiencia, si la misma será resuelta 
por un comisionado.  

  E

n some situations a statute or court order 
may specify a different deadline.  

f you do not respond to this motion or 
attend the hearing, the person who filed 
the motion may get what they requested.  

ee the court’s Motions page for more 
information about the motions process, 
deadlines and forms: 
www.utcourts.gov/howto/filing/motions 

Finding help 
The court’s Finding Legal Help web page 
(www.utcourts.gov/howto/legalassist/) 
provides information about the ways you 
can get legal help, including the Self-Help 
Center, reduced-fee attorneys, limited 
legal help and free legal clinics. 

n algunos casos debido a un estatuto o a 
una orden de un juez la fecha límite podrá 
ser distinta.  
  
Si usted no responde a esta moción ni se 
presenta a la audiencia, la persona que 
presentó la moción podría recibir lo que 
pidió.  
  
Vea la página del tribunal sobre Mociones 
para encontrar más información sobre el 
proceso de las mociones, las fechas 
límites y los formularios:  
www.utcourts.gov/howto/filing/motions 
 

Cómo encontrar ayuda legal 
La página de la internet del tribunal Cómo 
encontrar ayuda legal 
(www.utcourts.gov/howto/legalassist/) 
tiene información sobre algunas maneras 
de encontrar ayuda legal, incluyendo el 
Centro de Ayuda de los Tribunales de 
Utah, abogados que ofrecen descuentos u 
ofrecen ayuda legal limitada, y talleres 
legales gratuitos. 

  N

  I

  I

  S

1020ADF Approved October19, 2020 
 

Motion to Intervene in Adoption 

Page 3 of 4 

Certificate of Service 

I certify that I filed with the court and am serving a copy of this Motion to Intervene in Adoption Case 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 

 

 

 

 

 

 

 
Date 

 

1020ADF Approved October19, 2020 
 

Motion to Intervene in Adoption 

Page 4 of 4