APP-009E PROOF OF ELECTRONIC SERVICE (Court of Appeal) Notice: This form may be used to provide proof that a document has been served in a proceeding in the Court of Appeal. Please read Information Sheet for Proof of Service (Court of Appeal) (form APP-009-INFO) before completing this form. Case Name: Court of Appeal Case Number: Superior Court Case Number: 1. At the time of service I was at least 18 years of age. 2. a. My residence business address is (specify): b. My electronic service address is (specify): 3. I electronically served the following documents (exact titles): 4. I electronically served the documents listed in 3. as follows: a. Name of person served: On behalf of (name or names of parties represented, if person served is an attorney): b. Electronic service address of person served: c. On (date): The documents listed in 3. were served electronically on the persons and in the manner described in an attachment (write "APP-009E, Item 4" at the top of the page). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME OF PERSON COMPLETING THIS FORM) (SIGNATURE OF PERSON COMPLETING THIS FORM) Page 1 of 1 Form Approved for Optional Use Judicial Council of California APP-009E [New January 1, 2017] PROOF OF ELECTRONIC SERVICE (Court of Appeal) www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com