Proof Of Service By Mail

Download a blank fillable Proof Of Service By Mail in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Proof Of Service By Mail with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Clerk stamps date here when form is filed.
EA-141
Proof of Service by Mail
To keep other people from
1
Name of person asking for protection:
seeing what you entered on
your form, please press the
Clear This Form button at the
2
Your name:
end of the form when finished.
3
Notice to Server
Fill in court name and street address:
The server must:
Superior Court of California, County of
Be over 18 years of age.
Be a resident or employed in the
county where the mailing took place.
Not be listed on the restraining order.
Mail a copy of all documents
checked in
to the person in
4
Fill in case number:
. Complete and sign this form
Case Number:
1
and give it to the person in
.
2
PROOF OF SERVICE BY MAIL
4
I am over 18 years of age and am a resident or employed in the county where the mailing took place. I mailed
the person in
a copy of all documents checked below:
1
a.
Form EA-110, Response to Request for Orders to Stop Elder or Dependent Adult Abuse (completed)
b.
Other (specify):
5
I placed copies of the documents checked above in a sealed envelope and mailed them as described below:
a. Mailed from (City):_________________________________________ (State): ___________________
b. On (Date):________________________________________________
c. To this Address:______________________________________________________________________
City: ________________________________________State:_________________ Zip:_____________
6
Server's Information
Name:_______________________________________________________________________________
Address:______________________________________________________________________________
City: ______________________________________________State:_______________ Zip:___________
Telephone:__________________________
(If you are a registered process server):
County of registration: _______________________________ Registration number:__________________
I declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.
Date:_________________________
Type or print server’s name
Server signs here
Proof of Service by Mail—CLETS
Judicial Council of California,
EA-141,
Page 1 of 1
Rev. January 1, 2007, Optional Form
(Elder and Dependent Adult Abuse Prevention)
Welfare & Institutions Code, § 15657.03
For your protection and privacy, please press the Clear This Form
Save This Form
Print This Form
Clear This Form
button after you have printed the form.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go