Affidavit of Service

Court/Case Name:
Case Number:
Date Filed:
Plaintiff:
Defendant:

Service Information

Name of person served:
Address where served:
Date of service:
Time of service:
Description of documents served:

Service Declaration

Method of Service (e.g., personal, mail, etc.):
Additional Details:
Name of Person Making Affidavit:
Signature:
Date: