APPLICATION FOR DESIGNATION AS SPECIAL PROCESS SERVER FOR CASES FILED IN THE JUSTICE OF THE PEACE COURTS 1. NAME OF CORPORATION/BUSINESS/INDIVIDUAL:_______________________________ 2. ADDRESS:___________________________________________________________ ____ _______________________________________________________________ 3. PHONE: (____)________________ 4. YEARS IN BUSINESS: ________________ 5. NAME OF PRESIDENT/MANAGING OFFICER: ___________________________________ 6. DO YOU HAVE A STATE OF DELAWARE BUSINESS LICENSE? (A business license is required for designation.) YES ____ NO_____. A Copy of the license must be attached to this application. 7. STANDARD FEE CHARGED TO CLIENTS FOR SERVING PROCESS: $_________________ 8. STANDARD TERMS FOR SERVING PROCESS (i.e., payment required only if process is served on defendant, or specified number of attempts of service which will be made per fee) :____________________________________ ____________________________________________________________________ ____ ________________________________________________________________________ ________________________________________________________________________ 9. EMPLOYMENT REFERENCES: (1)_____________________________________CONTACT PERSON:_________________ Address:________________________________________________________________ PHONE:(_____)______________________ FAX:(_____)__________________ (2)_____________________________________CONTACT PERSON:_________________ Address:________________________________________________________________ PHONE:(_____)______________________ FAX:(_____)__________________ (3)_____________________________________CONTACT PERSON:_________________ Address:________________________________________________________________ PHONE:(_____)______________________ FAX:(_____)__________________ 10 . INDIVIDUALS WHO WILL BE SERVING PROCESS ( All individuals who will be serving process must complete questions 10 and 11 (additional blank forms for questions 10 and 11 are attached): FULL NAME:______________________________________________________________ Last First Middle Suffix ADDRESS: _______________________________________________________________ J.P. Civ. Form No. 38 (Rev. 6/15/00) >>>> 2 HOME PHONE: (____)_______________ Social Security No. _______________ __ WORK PHONE: (____)_______________ Drivers License No. _______________ __ BIRTH DATE: __________________ HEIGHT: ___________ WEIGHT:____________ HAIR COLOR: _____________________ EYES: ______________________________ OCCUPATION: ____________________________________________________________ COMPANY NAME: ___________________________ HOW LONG: ____ YRS., ____ MOS. COMPANY ADDRESS: _______________________________________________________ COMPANY PHONE: (_____)________________ HAVE YOU EVER BEEN ARRESTED AND CONVICTED FOR ANYTHING OTHER THAN A TRAFFIC VIOLATION? YES _____ NO _______ Please attach a copy of your criminal history records(THIS APPLICATION WILL NOT BE PROCESSED WITHOUT A CERTIFIED COPY OF YOUR CRIMINAL HISTORY) ________________________________________________________________________ ________________________________________________________________________ ____________________________________________________________ ____________ ________________________________________________________________________ 11. CERTIFICATION, EACH INDIVIDUAL WHO WILL SERVE PROCESS IN A JUSTICE OF THE PEACE COURT CASE MUST COMPLETE THE FOLLOWING OATH OR AFFIRMATION: I swear or affirm und er oath that - I will perform personal service of Justice of the Peace Court documents in a business like manner in accordance with all applicable statutes, rules of procedure and Justice of the Peace Court policies and procedures regarding personal service. - I acknowledge that I may not represent myself as an officer of the Court. - I will return personally "served" documents to the Justice of the Peace Court noted on the documents no later than three (3) days following service, except forthwith summonses and subpoenas must be returned immed iately to the court . - For landlord/tenant cases only : If service other than personal service is made, proof of satisfaction of all the requirements for servi ce must be provided to the court (i.e., certification of posting of notice and complaint on rental unit and proof of mailing notice and complaint within one day of posting, by certified or registered mail to the Defendant. See 25 DelC. 5706. - I will return process documents bearing no scheduled hearing or trial date information to the Court no later than thirty (30) days from pick up, whether served or non-est . - I will return documents bearing a hearing date to the Justice of the Peace Court noted on the documents to the Court at least four (4) businessdays prior to the hearing date, whether served or non-est . - I will accurately, completely and legibly provide to the Court the requisite information on each document relative to service, as specified by the Court. This will include affidavits of service and the signature of the person accepting service when required. J.P. Civ. Form No. 38 (Rev. 6/15/00) >>>> 3 - I will indemnify and hold the State of Delaware and all of its agencies harmless from and against any and all claims for injury, loss of life, or damage to or loss of use of property caused or alleged to be caused by my acts or omissions and which arise out of my performance or failure to perform as specified above. - I authorize the State of Delaware to perfo rm a background investigation as part of the application process for designation as a process server in cases filed in the Justice of the Peace Court, and I authorize the release of any information from my references. - I acknowledge that payments relate d to the serving of process or subpoenas in cases filed in the Justice of the Peace Court will come from private parties and that the State of Delaware or the Justice of the Peace Courts are not responsible for payments or for other any matters related to these services in any capacity. - I will not serve process or a subpoena in a case in which I am or my spouse is related to any of the parties in the case or has a personal or financial interest or involvement in the case. - I am 21 years of age or ol der and a resident of the State of Delaware. _____________ ____________________________________________ Date Signature of Special Process Server SWORN TO AND SUBSCRIBED before me this __