This is a private record.
Name
Address
City, State, Zip
Phone
Email
I am the[ ] Petitioner
[ ] Respondent
[ ] Attorney for the[ ] Petitioner [ ] Respondent and my Utah Bar number is ______
In the District Court of Utah
______Judicial District______County
Court Address ______
______
Petitioner
v.
______
Respondent / Consent to Jurisdiction
______
Case Number
______
Judge
______
Commissioner

Instructions:File this form only if:

(1) The controlling order was entered or last changed in Utah; (2) you, the other party, and the children do not reside in Utah; and (3) you and the other party consent that the Utah District Court should have continuing, exclusive jurisdiction to modify the order.

OR

(1) the controlling order was entered or last changed by a court in a state other than Utah; (2) you and the other party consent that the Utah district court should have continuing, exclusive jurisdiction to modify the order;

and either:

(3) the children reside in Utah; or (4) the Utah District Court has personal jurisdiction over at least one of the parties.

File this consent in the Utah District Court. If the controlling child support order was entered or last changed by a court of a state other than Utah, file this consent also in that court.

(1)I consent thatthe Utah district court assume continuing, exclusive jurisdiction to modify the controlling child support order.

(2)The controlling child support order was entered or last changed by a court in ______(state).

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).
Signature ►
Date / Petitioner's Printed Name
Signed at ______(city, and state or country).
Signature ►
Date / Respondent's Printed Name
Certificate of Service
I certify that I filed with this court and served a copy of this Consent to Jurisdiction on the following people.
Person’s Name / Method of Service / Served at this Address / Served on this Date
(Child Support Division, if applicable) / [ ] Mail
[ ] Hand Delivery
[ ] E-filed
[ ] Email (Person agreed to service by email.)
[ ] Left at business (With person in charge or in receptacle for deliveries.)
(Clerk of court that entered controlling order) / [ ] Mail
[ ] Hand Delivery
[ ] E-filed
[ ] Email (Person agreed to service by email.)
[ ] Left at business (With person in charge or in receptacle for deliveries.)
[ ] Mail
[ ] Hand Delivery
[ ] E-filed
[ ] Email (Person agreed to service by 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.)
Signature ►
Date / Printed Name
Consent to Jurisdiction / Approved Board of District Court Judges July 10, 2009
Revised May 8, 2018 / Page 1 of 3