Fill and Sign the Utah Hearing Form

      (Name)       (Address)       (City)       (Telephone)       DISTRICT COURT,       COUNTY, UTAH COURT’S ADDRESS:       IN THE MATTER OF THE NAME CHANGE OF:       ,. (minor’s name) REQUEST FOR HEARING A minor. Case No. _____________________ Judge _______________________ I request a hearing on this name change petition. DATED:       ____________________________________ Petitioner Minor’s Name Change: Request for Hearing, p. 1 Approved: November 19, 2004 CERTIFICATE OF DELIVERY I certify that on       (date) , I [    ] hand- delivered [    ] mailed by first class mail, postage prepaid, a copy of the foregoing REQUEST FOR HEARING to: Name:       Address:             Name:       Address:             Name:       Address:             Name:       Address:             ____________________________________ Petitioner Minor’s Name Change: Request for Hearing, p. 2 Approved: November 19, 2004