______________________________
Petitioner's Name
______________________________
Address (may be omitted for privacy)
______________________________
City, State, ZIP
______________________________
Telephone  (may be omitted)

DISTRICT COURT, _______________ COUNTY, UTAH

___________________________________

Petitioner,

PETITIONER’S RESPONSE TO
DENIAL OF EX-PARTE ORDER

vs.

___________________________________

Respondent.

Case No. _______________

Assigned Judge: ____________________

I have read the Judge’s response denying my request for an Ex-parte order. I have checked the
box that shows what I would like the Court to do in my case.

Please schedule a hearing.

Please do not schedule a hearing. G Please dismiss this case.

G

G

G

Please ask the Judge to reconsider the decision. Here is further information that may have
been left out of my original petition:

petitioners_respsonse_to_judge.wpd 061109

petitioners_respsonse_to_judge.wpd 061109

G

G

This form was filled out, signed and sworn to by the Petitioner.

This form was filled out by me at Petitioner’s request. Petitioner gave me permission to
write his or her name on the signature line, above.

etitioner

X P

Do not write below this line

Date __________________ Time _____ __.M.

Date __________________ Time _____ __.M.

X

Court Clerk or Deputy



C:\Documents and Settings\jb\My Documents\My Files\Project\Forms\Spoabuse\approved forms in individual files\petitioners_respso

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