Fill and Sign the Request Submit Decision Form

My Name Address City, State, Zip Phone E-mail I am the Petitioner Attorney for the Petitioner and my Utah Bar number is _________ In the District Justice Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________________ In Re Petition to Expunge the Records of ____________________________________ _ Petitioner Request to Submit for Decision Case Number ___________________ Judge _________________________ Instructions:  Do not file this form if the court has held a hearing.  File this form only if neither the prosecutor nor the victim has filed a statement and at least 60 days has passed since you filed the petition.  Attach your Proposed Findings of Fact, Conclusions of Law and Order on Petition to Expunge Records. By and through my attorney, (Attorney, check here if you are appearing for your client.) I say as follows: (1) The petition was filed with this court on ____________________________. (date) (2) The petition was served on the prosecutor on _______________________. (date) (3) The prosecutor has not filed a statement. (4) A victim statement has not been filed. (5) It has been at least 60 days since the petition was filed. Request to Submit for Decision Approved Board of District Court Judges July 16, 2010 Page 1 of 3 (6) The court has not ordered Adult Probation and Parole to file a response. OR The court has ordered Adult Probation and Parole to file a response and AP&P has filed the response. (7) I request that the petition be submitted for decision because it is now ready for the court to review and issue a decision. I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true and correct. Sign here ► Date Typed or Printed Name Request to Submit for Decision Approved Board of District Court Judges July 16, 2010 Page 2 of 3 Certificate of Service I certify that I served a copy of this Request to Submit for Decision on the following people. Person’s Name Method of Service Served at this Address Served on this Date (Prosecuting Attorney) Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by 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.) (Victim) Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by 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.) (Clerk of Court) Mail Hand Delivery Electronic File Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by 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.) Sign here ► Date Typed or Printed Name Request to Submit for Decision Approved Board of District Court Judges July 16, 2010 Page 3 of 3