IN THE DISTRICT COURT OF ___________________ COUNTY, STATE OF UTAH IN THE MATTER OF:

ORDER OF DISMISSAL

___________________________

Case No._________________

The above-entitled matter having come before the Court on the ____ day of _________________, 20_____, and the Court having found that the statutory requirements for commitment are not met in this matter. IT IS HEREBY ORDERED that ____________________ be released from involuntary commitment and these proceedings be dismissed. Recommended this _____ day of __________________, 20_____. _________________________________ Mental Health Commissioner

ORDERED this _____ day of ______________________, 20_____. _________________________________ District Court Judge

DSAMH Form 36-12, Revised 2012

Utah Code Annotated 62A-15-631(10) (2003)

36-12 Order of Dismissal.pdf

Page 1 of 1. IN THE DISTRICT COURT OF. COUNTY,. STATE OF UTAH. IN THE MATTER OF: ORDER OF DISMISSAL. Case No. The above-entitled matter having come before the Court on the ____ day of. , 20_____, and the Court having found that the statutory. requirements for commitment are not met in this matter.

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