NOTICE OF LAWSUIT AND REQUEST FOR
WAIVER OF SERVICE FOR SUMMONS
(B)_____________________________________________ of (C) ________________________
A lawsuit has been commenced against you (or the entity on whose behalf you are addressed.) A copy
of the complaint is attached to this notice. It has been filed in the United States District Court for the District
of Utah and has been assigned docket number (D)_________________________.
This is not a formal summons or notification from the court, but rather my request that you sign and
return the enclosed waiver of service in order to save the cost of serving you with a judicial summons and an
additional copy of the complaint. The cost of service will be avoided if I receive a signed copy of the waiver
within (E)________________ days after the date designated below as the date on which this Notice and
Request is sent. I enclosed a stamped and addressed envelope (or other means of cost-free return) for your use.
A copy of the waiver is attached for your records.
If you comply with this request and return the signed waiver, it will be filed with the court and no
summons will be served on you. The action then will proceed as if you had been served on the date the waiver
is filed, except that you will not be obligated to answer the complaint before 60 days from the date designated
below as the date on which this notice is sent (or before 90 days from that date if your address is not within
the boundaries of any judicial district of the United States.)
If you do not return the signed waiver within the time indicated, I (i) will take appropriate steps to
effect formal service in a manner authorized by the Federal Rules of Civil Procedure and, (ii) to the extent
authorized by those Rules, will ask the court to require you (or the party on whose behalf you are addressed)
to pay the full costs of such service. In that connection, please read the statement concerning the d