Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Proof Of Service Of Summons (Family Law-Uniform Parentage-Custody And Support) Form. This is a California form and can be use in Family Law - Dissolution - Legal Separation -Annulment Judicial Council.
Loading PDF...
Tags: Proof Of Service Of Summons (Family Law-Uniform Parentage-Custody And Support), FL-115, California Judicial Council, Family Law - Dissolution - Legal Separation -Annulment
FL-115
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
FOR COURT USE ONLY
FAX NO. (Optional):
E–MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
CASE NUMBER:
PROOF OF SERVICE OF SUMMONS
1. At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
a.
Family Law—Marriage: Petition—Marriage (form FL-100), Summons (form FL-110), and blank Response—Marriage
(form FL-120)
–or–
b.
c.
d.
Family Law—Domestic Partnership: Petition—Domestic Partnership (form FL-103), Summons (form FL-110), and
blank Response—Domestic Partnership (form FL-123)
–or–
Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank
Response to Petition to Establish Parental Relationship (form FL-220)
–or–
Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and
blank Response to Petition for Custody and Support of Minor Children (form FL-270)
and
Completed and blank Declaration Under
Uniform Child Custody Jurisdiction and
Enforcement Act (form FL-105)
(2)
Completed and blank Declaration of
Disclosure (form FL-140)
(3)
Completed and blank Income and
Expense Declaration (form FL-150)
(5)
Completed and blank Financial Statement
(Simplified) (form FL-155)
(6)
Completed and blank Property
Declaration (form FL-160)
(7)
Request for Order (form FL-300), and blank
Responsive Declaration to Request for Order
(form FL-320)
(8)
Other (specify):
Completed and blank Schedule of Assets
and Debts (form FL-142)
(4)
e.
(1)
2. Address where respondent was served:
3. I served the respondent by the following means (check proper box):
a.
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
on (date):
at (time):
b.
Substituted service. I left the copies with or in the presence of (name):
who is (specify title or relationship to respondent):
(1)
(2)
Form Approved for Optional Use
Judicial Council of California
FL-115 [Rev. July 1, 2012]
(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed him or her of the general nature of the papers.
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed him or her of the general nature of the papers.
Page 1 of 2
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Code of Civil Procedure, § 417.10
www.courts.ca.gov
American LegalNet, Inc.
www.FormsWorkFlow.com
CASE NUMBER:
PETITIONER:
RESPONDENT:
3. b. (cont.) on (date):
at (time):
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the
copies were left (Code Civ. Proc., § 415.20b) on (date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.
Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by
first-class mail, postage prepaid, on (date):
from (city):
with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return
(1)
envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form FL-117).)
(Code Civ. Proc., § 415.30.)
c.
to an address outside California (by registered or certified mail with return receipt requested). (Attach signed
return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., § 415.40.)
Other (specify code section):
Continued on Attachment 3d.
(2)
d.
4. The "NOTICE TO THE PERSON SERVED" on the Summons was completed as follows (Code Civ. Proc., §§ 412.30, 415.10, 474):
a.
As an individual or
b.
On behalf of respondent who is a
(1)
minor. (Code Civ. Proc., § 416.60.)
(2)
ward or conservatee. (Code Civ. Proc., § 416.70.)
other (specify):
(3)
5. Person who served papers
Name:
Address:
Telephone number:
This person is
a.
exempt from registration under Business and Professions Code section 22350(b).
b.
not a registered California process server.
c.
a registered California process server:
an independent contractor
an employee or
(1) Registration no.:
(2) County:
d. The fee for service was (specify): $
6.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
–or–
7.
I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.
Date:
(NAME OF PERSON WHO SERVED PAPERS)
FL-115 [Rev. July 1, 2012]
(SIGNATURE OF PERSON WHO SERVED PAPERS)
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Page 2 of 2
