Fill and Sign the Utah Civil Form

Cover Sheet for Civil Actions Interpretation. If you do not speak or understand English, contact the court at least 3 days before the hearing or mediation, and an interpreter will be provided . Interpretación. Si usted no habla o entiende el Inglés contacte al tribunal por lo menos 3 días antes de la audiencia o mediación y le proveerán un intérprete. Civil Cover Sheet Revised May 9, 2017 Page 1 Cover Sheet for Civil Actions Plaintiff/Petitioner (First) Name Address City, State, Zip Phone Email First Plaintiff/Petitioner’s Attorney* Name Bar Number ---------------------------------------------------------------------------------- Plaintiff/Petitioner (Second) Name Address City, State, Zip Phone Email Second Plaintiff/Petitioner’s Attorney* Name Bar Number Defendant/Respondent (First) Name Address City, State, Zip Phone Email First Defendant/Respondent’s Attorney* Name Bar Number ---------------------------------------------------------------------------- Defendant/Respondent (Second) Name Address City, State, Zip Phone Email Second Defendant/Respondent’s Attorney* Name Bar Number *Attorney mailing and email addresses provided by Utah State Bar. Total Claim for Damages $_______________ Jury Demand Yes No $250 Jury Demand Schedule of Fees: §78a-2-301 (Choose  all that apply. See Page 2 for fees for claims other than claims for damages.) PLEASE CHOOSE ONE:  No monetary damages are requested (URCP 26: Tier 2)  Damages requested are $50,000 or less (URCP 26: Tier 1)  Damages requested are more than $50,000 and less than $300,000 (URCP 26: Tier 2)  Damages requested are $300,000 or more (URCP 26: Tier 3)  Damages are unspecified. Circle one: Tier 1 Tier 2 Tier 3  This case is exempt from URCP 26. (E) — — MOTION TO RENEW JUDGMENT — — $37.50  Damages $2000 or less $92.50  Damages $2001 - $9,999 $180  Damages $10,000 & over — — COMPLAINT OR INTERPLEADER — — $75  Damages $2000 or less $185  Damages $2001 - $9999 $360  Damages $10,000 & over $360  Damages Unspecified — — COUNTERCLAIM, CROSS CLAIM, THIRD PARTY CLAIM, OR INTERVENTION — — $55  Damages $2000 or less $150  Damages $2001 - $9999 $155  Damages $10,000 & over Civil Cover Sheet Revised May 9, 2017 Page 2 Choose  One Fee Case Type — — — — — APPEALS — — — — — $360  Administrative Agency Review Sch  Tax Court (Appeal of Tax Commission Decision) Court: Refer to Clerk of Court upon filing. $225  Civil (78A-2-301(1)(h)) $225  Small Claims Trial De Novo — — — — GENERAL CIVIL — — — — Sch  Civil Rights $0  Civil Stalking $360  Condemnation/Eminent Domain Sch  Contracts Sch  Contract: Employment Discrimination Sch  Contract: Fraud Sch  Debt Collection Sch  Eviction/Forcible Entry and Detainer $360  Extraordinary Relief/Writs $360  Forfeiture of Property Sch  Interpleader Sch  Lien/Mortgage Foreclosure Sch  Miscellaneous Civil $360  Post Conviction Relief: Capital $360  Post Conviction Relief: Non-capital Sch  Property Rights $360  Registry Removal (Gun/White Collar) Sch  Sexual Harassment Sch  Water Rights $360  Wrongful Lien Sch  Wrongful Termination — — — — — — — TORTS — — — —— — — Sch  Automobile Tort Sch  Intentional Tort Sch  Malpractice-Medical Tort Sch  Malpractice-Legal Tort; Other Sch  Premises Liability Sch  Asbestos Sch  Product Liability (NOT Asbestos) Sch  Slander/Libel/Defamation — — — — DOMESTIC RELATIONS — — — — $0  Protective Orders $310  Marriage Adjudication $310  Custody/Visitation/Support $310  Divorce/Annulment  Check if child support, custody or parent- time will be part of decree  Check if Temporary Separation filed $8  Vital Statistics §26-2-25 per form $115  Counterclaim: Divorce/Sep Maint. Fee Case Type $115  Counterclaim: Custody/Visit/Support $155  Counterclaim: Paternity/Grandparent Visitation $100  Domestic Modification $100  Counter-petition: Domestic Mod. $360  Grandparent Visitation $360  Paternity/Parentage $310  Separate Maintenance $35  Temporary Separation $35  Uniform Child Custody Jurisdiction & Enforcement Act (UCCJEA) $35  Uniform Interstate Family Support Act (UIFSA) (E) — — — — — JUDGMENTS — — — — — $35  Foreign Judgment (Abstract of) $50  Abstract of Judgment/Order of Utah Court/Agency $30  Abstract of Judgment/Order of Utah State Tax Commission $35  Judgment by Confession — — — — — PROBATE — — — — — $360  Adoption/Foreign Adoption $8  Vital Statistics §26-2-25 per form $360  Conservatorship $360  Estate Personal Rep $35  Foreign Probate/Child Custody Doc. $360  Gestational Agreement $360  Guardianship-Adult $360  Guardianship-Minor $35  Guardianship-Disabled Adult Child $0  Involuntary Commitment $360  Minor’s Settlement $360  Name Change $360  Supervised Administration $360  Trusts (T2) $360  Unspecified (Other) Probate — — — — SPECIAL MATTERS — — — — $35  Arbitration Award $0  Determination Competency-Criminal $135  Expungement Petition $0  Hospital Lien $35  Judicial Approval of Document: Not Part of Pending Case $35  Notice of Deposition in Out-of-State Case/Foreign Subpoena $35  Open Sealed Record $50  Petition for Adjudication of Priority to Funds on Trustee's Sale