Juniper Hollow Special Service District (Sample — fictional)
Share the report
The approver is whoever holds the CAO role in your entity settings. In this sample: Mira Sample Quill (fictional).
- Review (step 1 of 4)
- Approve (step 2 of 4)
- Share (step 3 of 4, current)
- Done (step 4 of 4)
Nothing is approved on this device yet. The CAO approves the report first, then you download it here.
Go to ApproveAnswers changed after this report was approved. The PDF below has the answers as approved. Approve again to include the changes.
1. Download the sample PDF
The state form with your sample answers, plus one approval page: your typed name, the time, and a file fingerprint. Every page is marked “SAMPLE — fictional data”, so it is for looking at, not for filing. The real service delivers the clean report.
Section 9 (page 27) of the state form has a signature line for the CAO. We filled in the name; add the date when you sign.
Keep it at least five years. It is a protected record, so store it where only staff who need it can open it.
2. Email it yourself
Not confirmed by the stateWe never send it for you. This opens a draft in your own email. Attach the PDF before you send.
Open email draftThe state form (v1.1) says to email the completed report to officeofdataprivacy@utah.gov. The Office's report page says sharing instructions are still coming, so check with the Office before you send.
Official sharing instructionsNOT PUBLISHED
The state says: “Instructions for sharing the report will be given later this year.” When they are out, the steps go here.
privacy.utah.gov/privacy-program-report · As of Oct 31, 2026