Roster Of Process Serving Agencies - Nyc Consumer Affairs printable pdf download

Roster Of Process Serving Agencies - Nyc Consumer Affairs

42 Broadway

ROSTER OF PROCESS SERVING

New York, NY 10004

AGENCIES

Dial 311

(212-NEW-YORK)

Process Server Individual Name:

nyc.gov/dca

Process Server Individual

DCA License Number (if applicable):

Please select the statement that describes you:

 A. I do not currently serve process for a Process Serving Agency.

 B. I serve process exclusively as an employee for one Process Serving

Agency.

 C. I serve process for Process Serving Agency(ies) but not exclusively

as an employee.

If you selected statement B or C, you must list below the name(s) and DCA license

number(s) of the Process Serving Agencies that assign process for service to you.

Attach additional papers as necessary.

Process Serving Agency Name

DCA License Number

IMPORTANT REQUIREMENTS ABOUT UPDATING INFORMATION:



If you cease to serve process exclusively for the Agency as an employee,

you must notify DCA within five (5) days of the change in writing.



If you begin to serve process exclusively for a new Process Serving Agency

as an employee, you must notify DCA within five (5) days of the change

in writing.

I understand that falsification of any statement made herein is an offense

punishable by a fine or imprisonment or both.

______________________________________

Signature

Date

Roster Of Process Serving Agencies - Nyc Consumer Affairs