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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
Date Format: 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
Date Format: 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:
Date Format: 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:
Date Format: 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:
Date Format: 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.
- By checking this box, I certify that I am the defendant in the above noted case, and that I have provided accurate information.
Please enter the security code

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Justice Court

110 South Main Street

Springville, UT 84663

(801) 489-2707