Return Of Service (Of Protective Order Forms)

Return of Service Case Number: _______________ District: ____ County: ______________________ State: Utah Judge: ________________________________ Commissioner: __________________________ Petitioner (Person asking for protection) This is a private record. First Name Middle Last Respondent (Person you need to be protected from) First Name Middle Last Law Enforcement Officer (Complete and return this form to the agency that requested service.) I am a law enforcement officer. The following documents were given to me on ____________________________ (date). Protective Order Amended Temp. Protective Order Modified Protective Order Modified Temporary Protective Order Order Extending Temp. Protective Order Protective Order Request for Modified Protective Order Request for Protective Order Request to Dismiss Protective Order Request to Vacate Temporary Protective Order Temporary Protective Order Child Protective Order Amended Ex Parte Child Protective Order Child Protective Order Ex Parte Child Protective Order Petition for Child Protective Order Stalking Injunction Civil Stalking Injunction Request for Civil Stalking Injunction Temporary Civil Stalking Injunction Misc Notice of Hearing Other (Describe): __________________ I personally served the documents on the Date At (Address) Time Respondent : Petitioner a.m. as follows: p.m. I wrote my title and date of service on the documents. Sign here Date Typed or Printed Name Agency Representative The above information has been entered into the Statewide Domestic Violence Network. Sign here Date Typed or Printed Name Return of Service ­ Protective Order Approved Board of District Court Judges July 2007 Revised April 1, 2012 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com