Small Claims Proof Of Service Under Urcp4 By Mail - Salt Lake City Justice Court
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2SALT LAKE CITY JUSTICE COURT
333 SOUTH 200 EAST, PO BOX 145499, SALT LAKE CITY, UT 84111-5499
Phone: 801-535-6301 / Fax: 801-535-6302 /
Name__________________________________________Plaintiff )
Street Address__________________________________________ )
SMALL CLAIMS
City, State, ZIP_________________________________________ )
PROOF OF SERVICE
vs.
)
UNDER URCP4
Name________________________________________Defendant )
(Service By Mail)
Street Address__________________________________________ )
City, State, ZIP_________________________________________ )
Case._________________________
Instructions: Use this document to show the date, place, and manner in which documents were served under Rule of
Civil Procedure 4. Rule 4 requires service by mail OR by personal service (not both). Complete Paragraphs (1), (2) and
complete the certificate of service.
(1)
The following documents were served by the method described below:(Choose
all that apply.)
Small Claims Affidavit & Summons
Amended Small Claims Affidavit and Summons
Other: _____________________________________________________________ (describe)
Service by Mail (Note: Service by mail requires a signed receipt. The state and its departments and agencies cannot be
served by mail until after they are parties to the case. A minor or an incapacitated person cannot be served by mail until
after they are parties to the case.)
(2)
I served the following person by sending a copy of the documents listed in Paragraph (1) by:
registered mail,
certified mail,
commercial courier service to:
Name
Address
City State Zip
I have attached a signed receipt proving delivery. It was signed by:
the addressee personally.
someone authorized by appointment or by law to receive service of process on behalf of the addressee.
This form must be filed with the court no later than 10 business days after service is made.
Your case will not be scheduled on the court’s calendar, if you do not provide the court with this form and its
attachments.
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