Notice of Dismissal Small Claims Case Approved Board of District Court Judges September 10, 2008 Revised M ay 1, 2019 Page 1 of 3 Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address. Email I am [ ] Plaintiff [ ] Defendant [ ] Plaintiff orney [ ] Defendant (Utah Bar #: ) In the [ ] District [ ] Justice Court of Utah Judicial District County Court Address Plaintiff v. Defendant a nd Defendant N otice of Di smissal Small Claims Case Case Number Judge PLEASE TAKE NOTICE: [ ] [ ] claim has been dismissed because of your failure to appear at the trial. A copy of the order is enclosed. You may ask to set aside this order by filing a Motion to Set Aside with this court within 15 days after the date the judgment was entered. (Utah Rule of Small Claims Procedure 10). You may appeal this order by filing a Notice of Appeal with this court within 28 days after the date the judgment was entered. (Utah Rule of Small Claims Procedure 12). American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com Notice of Dismissal Small Claims Case Approved Board of District Court Judges September 10, 2008 Revised M ay 1, 2019 Page 2 of 3 I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (city, and state or country). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com Notice of Dismissal Small Claims Case Approved Board of District Court Judges September 10, 2008 Revised M ay 1, 2019 Page 3 of 3 Certificate of Service I certify that I filed with the court and am serving a copy of this N otice of Dismissal Small Claims Case on the following people. Ser vice Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing ther e.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com