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Justice Court

110 South Main Street

Springville, UT 84663

(801) 489-2707

(801) 491-7815

Springville
Justice Court
Request to Judge

Request to Judge

The form below is available as a convenience to the defendant and must be submitted timely to avoid possible penalties or sanctions. This form is to be filled out only by a defendant with a case at the City of Springville Justice Court. Any form submitted without a current case number or incomplete information will not be considered.

Please fill out the line(s) that apply to specify your request. Also, please give a brief explanation of why you are making this request and include any information that you feel is relevant for the judge and/or City Prosecutor to know in considering this request.

Request to Judge

Name*
First Last
Case Number*
Birthday*
Address*
Street Address City State ZIP Code
Phone*
Email*
I AM REQUESTING:
- An extension on my fine (if you select this option, select date below)
I can pay the fine in full by
MM slash DD slash YYYY
- To Skip Payment
- To adjust my monthly payments (please indicate amount and date to begin below)
Enter the amount of requested monthly payments below
Date requested for new montly payment to begin
MM slash DD slash YYYY
- To do community service in lieu of the fine balance
- An extension to complete evaluation or class (if you select this option, please indicate the date you commit to complete below)
I commit to complete an evaluation or class by:
MM slash DD slash YYYY
- An extension on jail time. (Please indicate below the date to complete jail time by)
I commit to complete the jail time by:
MM slash DD slash YYYY
- Charge to be dismissed due to successful completion of terms of Plea in Abeyance agreement
- Probation to be terminated
- To continue my hearing scheduled for the date indicated below
My hearing is currently scheduled for:
MM slash DD slash YYYY
- Request bail money posted in the amount indicated below to be applied to the outstanding fines/fees in this case
Amount of bail money posted to be applied to fines/fees in this case:
- Request bail money posted to be refunded (please indicate the payee below)
Bail money is to be refunded to:
Please provide a brief explanation, if needed, below.
Please upload any supporting documents if needed
Drop files here or

Accepted file types: pdf, doc, docx, jpg, gif, png, Max. file size: 3 MB.
- By checking this box, I certify that I am the defendant in the above noted case, and that I have provided accurate information.
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Justice Court

110 South Main Street

Springville, UT 84663

(801) 489-2707