Court Seal

UNITED STATES DISTRICT COURT
District of Utah
Honorable David Nuffer, Chief Judge   |   D. Mark Jones, Clerk
 

FORMS

The following forms are available in PDF, WordPerfect and/or Word. Some of the PDF forms can be easily filled out and printed, look for the pencil. For the PDF format you will need an Adobe Acrobat to view, fill out or print these forms. A free Acrobat reader and instructions are available from Adobe by going to "http://www.adobe.com/prodindex/acrobat/readstep.html".

Form

Format

Appeals Transcript Order Form PDF
pencil
 
Appeals Information for Pro Se Parties PDF  
Application for Judicial Branch Employment (AO 78) (10/2009) PDF
pencil
WPD
WORD
Application to Proceed Without Prepayment of Fees and Affidavit (AO 240) (07/2010) PDF
pencil
WPD
WORD
Attorney Annual Bar Registration Form 2014-2015 PDF
pencil
 
Attorney Change of Address Form (03/20/2013) PDF
pencil
 
Attorney Misconduct Complaint Form (02/2010) PDF WPD
Attorney Notice of Appearance Form (02/2010) PDF WPD
Attorney Planning Meeting Form
Also download and submit Proposed Scheduling Order (below)
For additional information visit our IPT page.
PDF WPD
WORD
Bill of Costs (AO 133) (12/2009) PDF
pencil
WPD
WORD
Civil Cover Sheet (JS44) (12/2012) New Nature of Suit Codes (09/2011) PDF
pencil
 
Civil Rights Complaint Guide PDF  
Civil Subpoena to Appear and Testify at a Hearing or Trial in a Civil Action (AO 88) (02/2014) PDF
pencil
WPD
WORD
Civil Subpoena to Testify at a Deposition in a Civil Action (AO 88A) (02/2014) PDF
pencil
WPD
WORD
Civil Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action (AO 88B) (02/2014) PDF
pencil
WPD
WORD
Civil Summons (AO 440) (06/2012) Electronic Summons PDF
pencil
 
CJA Panel Membership Application (01/2012) (Please see CJA Panel Rules for qualifications) PDF WPD
CJA Form 24 - Authorization & Voucher for Payment of Transcript
(Instructions for CJA Form 24)
PDF WPD
CJA Forms Page    
CM/ECF E-Filing Registration Form PDF  
Copywork Request Form PDF WPD
Employment Discrimination Guide PDF  
Exhibit and Witness List Form (AO 187) (07/1987) PDF
pencil
WPD
WORD
Exhibit and Witness List Form -continuation list (AO 187a) (07/1987) PDF
pencil
WPD
WORD
Fee Schedule (effective 12/01/2014) PDF  
Garnishment Packet - Personal Service (wage) PDF WPD
Garnishment Packet - Not Personal Service (non-wage) PDF WPD
Garnishment Packet -Personal Service (wage) Continuing Garnishment PDF WPD
Law Student Admission Forms Package (Supervision Attorney Consent,Client Consent,Law School Cerification) (05/21/2014) PDF WPD
Magistrate Consent Form PDF
pencil
 
Motion for Withdrawal of Counsel (09/24/2014) PDF
pencil
 
Proposed Order Granting Motion for Withdrawal of Counsel (12/01/2010)   WPD
WORD
Nonresident Attorney Admission Forms (motion, order, affidavit, admission card) PDF WPD
Notice, Consent and Order of Reference-Exercise of Jurisdiction by a US Magistrate Judge (AO 85) (01/2009) PDF
pencil
WPD
WORD
Notice of Lawsuit - Request for Waiver (AO 398) (01/2009) PDF
pencil
WPD
WORD
Patent Case Scheduling Order (sample)   WORD
Pretrial Order (General Form) PDF WPD
WORD
Pro Hac Vice Form (contains motion, application, proposed order)
(New Revised Procedures for online payments using Pay.gov)
  WPD
WORD
Proposed Order   Word Template
Proposed Order for Psychiatric Examination and Report (Competency)   WPD
WORD
Proposed Order for Psychiatric Examination and Report (Competency and Insanity)   WPD
WORD
Proposed Scheduling Order (02/9/2011)
For additional information visit our IPT page.
  WPD
Word
Word Template
Pro Se Litigant Guide PDF  
Standard Protective Order PDF WORD
Third Party Summons in a Civil Case (AO 441) (07/2010) PDF
pencil
WPD
WORD
Transcript Form - Notice of Intent to Request Redaction
Transcript Policy and Procedures page.
  WPD
WORD
Transcript Form - Redaction Request   WPD
WORD
Waiver of Service Form (AO 399) (01/2009) PDF
pencil
WPD
WORD
Writ of Execution Packet (includes Request for Hearing, Writ of Execution Notice & Writ) PDF  
FOREIGN LANGUAGE DOCUMENTS / SPANISH
Appearance Bond (AO98 / UTSP108)   WPD
Appearance and Conditions Bond (AO98A / UTSP109)   WPD
Commitment to Another District (Spanish Only) (AO94 / UTSP106)   WPD
Consent to Proceed Beofre US Magistrate Judge in a Misdemeanor Case (AO86A / UTSP104)   WPD
Financial Affidavit (Spanish/English) (CJA23 / UTSP107) 02/08/2010 - NOTE: Attach English version for the judge PDF WPD
Order of Probation Under 18 U.S.C. 3607 (AO246 / UTSP110)   WPD
Order Setting Conditions of Release (AO199A / UTSP105)   WPD
Pre-Plea Agreement (AO246 / UTSP112)   WPD
Pretrial Diversion Agreement (PS4 / UTSP103)   WPD
Waiver of Indictment (AO455 / UTSP102)   WPD
Waiver of Rule 5 and 5.1 Hearings (AO466A / UTSP101)   WPD

ADR Forms

Form

Format

Final Arbitration Agreement (Draft) PDF WPD
Order of Reference PDF WPD
Motion to Refer Case to ADR PDF WPD
Arbitration Primer PDF WPD
Mediation Primer PDF WPD

Standard Forms Available at the Clerk's Office (hardcopies)

  • Appeals Transcript Order Form
  • Applications to Proceed Without Prepayment of Fees
  • Attorney Planning Meeting Form
  • Attorney Registration Form
  • Bill of Costs
  • Civil Cover Sheet
  • Civil Summons
  • Civil Subpoena - Deposition, Documents and Trial
  • Criminal Subpoena - Must be issued by Clerk's Office
  • Execution Packets
  • Exhibit and Witness List Form
  • Exhibit Stickers
  • Final Pretrial Order
  • Garnishment Packets - Person Service, Not Personal Service
  • Information for Filing a Civil Rights Complaint Under 42 U.S.C. 1983 & 1985
  • Information for Filing an Employment Discrimination Complaint
  • Law Student Admission Forms
  • Pro Hac Vice Applications
  • Pro Se Litigant Guide
  • Pro Se Pardons Packet
  • Third Party Summons in a Civil Case
  • Waiver of Service

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