Small Claims Court
Affidavit of Service
Court File No.
Court Location
Plaintiff(s)
Defendant(s)
Name of document(s) served:
Name of person served:
Method of service:
Date of service:
Time of service:
Place of service:
Details of how service was accomplished:
Name of person making affidavit
Signature
Sworn/Affirmed before me at
On (date)
Commissioner for taking affidavits etc.