Form 16b - Affidavit Of Service printable pdf download

FORM 16B

Courts of Justice Act

AFFIDAVIT OF SERVICE

(If a separate document insert general heading)

AFFIDAVIT OF SERVICE

, in the (County, Regional Municipality, etc.) of

I, (full name), of the (City, Town, etc.) of

, MAKE OATH AND SAY (or AFFIRM) :

(Personal service)

On (date), at (time), I served (identify person served) with the (identify documents served) by leaving a copy with him (or her) at (address

where service was made). (Where the rules provide for personal service on a corporation, etc. by leaving a copy of the document with another

person, substitute: by leaving a copy with (identify person by name and title) at (address where service was made).)

I was able to identify the person by means of (state the means by which the person’s identity was ascertained.)

(Service by leaving a copy with an adult person in the same household as an alternative to personal service)

I served (identify person served) with the (identify documents served) by leaving a copy on (date), at (time), with a person (insert name if

known) who appeared to be an adult member of the same household in which (identify person served) is residing, at (address where service

was made), and by sending a copy by regular lettermail (or registered mail) on (date) to (identify person served) at the same address.

I ascertained that the person was an adult member of the household by means of (state how it was ascertained that the person was an

adult member of the household).

Before serving the documents in this way, I made an unsuccessful attempt to serve (identify person) personally at the same address on

(date). (If more than one attempt has been made, add: and again on (date).)

(Service by mail as an alternative to personal service)

On (date), I sent to the (identify person served) by regular lettermail (or registered mail) a copy of the (identify documents served).

On (date), I received the attached acknowledgment of receipt card (or post office receipt) bearing a signature that purports to be the

signature of (identify person).

(Service by mail on a lawyer)

I served (identify party served) with the (identify documents served) by sending a copy by regular lettermail (or registered mail) on (date) to

(name of lawyer), the lawyer for the (identify party), at (full mailing address).

(Service on a lawyer by fax)

I served (identify party served) with the (identify documents served) by sending a copy by fax to (fax number) on (date) to (name of lawyer),

the lawyer for the (identify party).

(Service on a lawyer by courier)

I served (identify party served) with the (identify documents served) by sending a copy by (name of courier), a courier, to (name of lawyer),

the lawyer for the (identify party), at (full address of place for delivery).

The copy was given to the courier on (date).

RCP-16B-E (2016/05)

Form 16b - Affidavit Of Service