WAIVER OF PERSONAL OR ABODE SERVICE/ STATE OF CONNECTICUT PARENTAL RIGHTS MATTER PC-633 REV. 10/07 COURT OF PROBATE TO: COURT OF PROBATE, IN THE MATTER OF [Name, address, zip code,and telephone number] RECORDED (CONFIDENTIAL VOLUME): DISTRICT NO. a minor child. PERSON WAIVING PERSONAL SERVICE [Name, address, zip code, and telephone number] PETITIONER OF PENDING APPLICATION [Name, address, zip code, and telephone number] An application has been presented to the Court requesting: Temporary custody of a minor Removal of parent as guardian in the matter of the minor child named above. Termination of parental rights The undersigned person is the parent of said minor child named above OR the father of said minor child who was born out of wedlock and is entitled to receive notice of hearing in said matter by personal or abode service. By signing this waiver of personal service under the penalty of false statement,the undersigned knowingly waives his or her right to receive notice of hearing in the above-captioned matter by personal or abode service , which is deliverable by a state marshal, constable, or indifferent person. IN LIEU THEREOF, the undersigned agrees to receive said notice of hearing by first class mail. The representations contained herein are made under the penalties of false statement. DATE: SIGNED ................................................................................................................... Print Name: WAIVER OF PERSONAL SERVICE OR ABODE SERVICE/PARENTAL RIGHTS MATTER PC-633 American LegalNet, Inc. www.FormsWorkFlow.com