CERTIFICATE OF SERVICE

Caption Example

IN THE [DISTRICT] DISTRICT COURT OF THE STATE OF UTAH
IN AND FOR [COUNTY] COUNTY

[PLAINTIFF NAME],
Plaintiff,

v. Case No. [CASE NUMBER]
Judge [JUDGE NAME]
[DEFENDANT NAME],
Defendant.

Service Statement

Pursuant to Utah Rule of Civil Procedure 5, I certify that on [DATE OF SERVICE] the [TITLE OF DOCUMENT SERVED] was served on the following:

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Defendant"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via MyCase (registered service contact)
• [ ] Electronic mail (consent pursuant to Rule 5(b)(3)(B))
• [ ] Hand delivery
• [ ] First-Class Mail, postage prepaid
• [ ] Certified Mail / Commercial courier
• Time of Service: [TIME]

[Repeat for each additional recipient.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• MyCase transaction/reference number: [ID].
• If the court authorized alternative service, describe compliance: [DETAILS OR "N/A"].

Declaration

I declare under penalty of perjury that the foregoing is true and correct.

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[UTAH BAR NUMBER]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Self-Represented [PARTY]

Practitioner Notes

• Retain proof of service for potential motions regarding sufficiency of service.
• Ensure compliance with Rule 4-202.02 (records classification) when serving documents containing protected information.
• Some judges require courtesy copies; document any additional delivery in the notes section above.