______________________________ Requesting Person’s Name ______________________________ Address ______________________________ City, State, ZIP ______________________________ Telephone IN THE _____________________ DISTRICT JUVENILE COURT _____________________ COUNTY, STATE OF UTAH In the Interest of: * * ________________________________ Name of Child(ren) * * _________________________ Date of Birth of Child(ren) * MOTION FOR A COPY OF THE RECORD OF THE PROCEEDING OF A CHILD WELFARE MATTER Judge_____________________ * ______________________________________________________________________________ 1. I, __________________________, ___________________ (date of birth) hereby request a copy of the audiotape/CD of the record of the proceeding in a child welfare matter, _____________________ , 20__ at _____ am/pm. My relationship to the child(ren) named above is as: ____ Family member ____ Friend of child/family ____ Member of the Public ____ Media representative Amended October 14, 2005 American LegalNet, Inc. www.USCourtForms.com 2. I am aware that there is a charge for each tape or CD copied (Tape: $10, CD $15). I agree to pay a minimum $15.00 deposit today and the additional charge for each additional tape/CD needed for the hearing(s) I am requesting. I understand that I will be telephoned at the number listed above when the recording is completed. 3. I understand that my request for a copy of the record of the proceeding will be granted if the Court finds good cause for its release, pursuant to Utah Code Ann. 78-3a-116. I understand that the judge may place under seal information received in an open proceeding. 4. My reasons for requesting a copy of the record of the proceedings are as follows: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________. SIGNED: _____________________ DATE : _____________ NOTE: Pursuant to Utah Code Ann. 78-3a-116 the court shall provide notice to all subjects of the record that a request for release of the record has been made. ORDER Based upon the foregoing, the Court orders as follows: _____ Good cause to release a copy of the record of the proceedings is shown. Upon payment of all applicable fees, the requesting party may receive a copy of the following dated hearing(s): ________________________________________________________________________ ________________________________________________________________________ ___________. Amended October 14, 2005 American LegalNet, Inc. www.USCourtForms.com _____ Despite reasons advanced for release of a copy of the record of the proceeding, the following dated hearing(s) cannot be released because all or part of a hearing has been sealed pursuant to Rule of Juvenile Procedure 50: ___________________________________________ _____________________________________________________________________________ _____________________________________________________________________________. _____ Good cause has not been demonstrated sufficient to release a copy of the record of the proceedings of the following dated hearing(s): ______________________________________________________________________________ _____________________________________________________________________________. DATED: _____________________ TIME:__________________________ BY THE COURT: __________________________ JUVENILE COURT JUDGE Amended October 14, 2005 American LegalNet, Inc. www.USCourtForms.com