Affidavit Or Affirmation Of Service

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Revised 05/01 WDNY
AFFIDAVIT OR AFFIRMATION OF SERVICE
Instructions and Forms
Make extra copies of these forms before you use them for the first time, so that you will have
copies to use for future filings in your case. You may also obtain copies on the Western
District web site at on the Internet.
All document(s) which you wish to file with the Court after the complaint has been
served must first be served on all other parties to the action (if appearing pro se) or all
other parties’ attorneys. The service may be accomplished either by hand-delivering or by
mailing a copy of the document(s) to the other parties or to the parties’ attorneys before you
file the papers with the Court.
You must then include with the document(s) you are filing with the Court either a
signed and dated Affirmation of Service informing the Court under penalty of perjury that
you have served a copy of the documents (which you must name) on the other parties by
hand-delivering or mailing the document(s) to the other parties or their attorneys on a named
date or a notarized Affidavit of Service in which you state the same thing.
You may use either of the following forms.

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