Certificate Of Service Form (Page 2 of 2) in pdf

Certificate Of Service Form Page 2

(Complete the section below only if the server also did the follow-up mailing required by ORCP

7D(2)(c). If a person other than the server did the follow-up mailing, that person must

complete a separate Certificate of Service Mailing.)

□ On (date)_________________ , I personally deposited a true copy of the same

documents served with the U.S. Postal Service, via first class mail, in a sealed envelope, postage

paid, addressed to the party to be served: □ Plaintiff □ Defendant (name)______________

________________, at the party’s: □ home address at: _________________________

___________________________, OR business address above, together with a statement

of the date, time and place that the documents were hand-delivered to the party’s office.

(d) □ Service by Mail, Return Receipt Requested on (date)_____________ , I

personally deposited two true copies with the U.S. Postal Service. One by first class mail, and

the other by certified or registered mail, Return Receipt Requested, or by express mail, postage

paid, addressed to the party to be served: □ Plaintiff □ Defendant

________________________ (name), at the party’s home address located at: _________

___________________________________(address). (NOTE: If mailed Return Receipt

Requested, the return receipt must be attached to this Certificate of Service.)

Certificate of Document Preparation. Check all that apply:

□

I chose this form for myself and completed it without paid help.

□

A legal help organization helped me choose or complete this form, but I did not pay money to anyone.

□

I paid (or will pay) ____________________ for help choosing, completing, or reviewing this form.

w the completed form

I hereby declare that the above statements are true to the best of my knowledge

and belief, and that I understand they are made for use as evidence in court and I

am subject to penalty for perjury.

________________

___________________________________

Date

Signature of Server

______________________________________

Print Name

If person serving is NOT a sheriff or sheriff’s deputy, address and phone number of server:

_______________________

Certificate Of Service Form Page 2