IN THE DISTRICT COURT OF JOHNSON COUNTY, KANSAS Small Claims Division _________________________________ _________________________________,Plaintiff Case No._________ Div. No._________ Chapter__________ vs. _________________________________ _________________________________,Defendant REQUEST AND SERVICE INSTRUCTION FORM To: Clerk of the District Court The Clerk of the Court will issue a _______________________in the above entitled action for__________________________________________________________________ whose address for service is: __________________________________________________ __________________________________________________ Service is requested as indicated: G a. Service through the office of the Sheriff of _______________________________County, State of ______________________, other than by certified mail. Returns may be faxed to (913) 791-3401, 7 days a week, 24 hours a day. G b. Service by an authorized Process Server. G c. Certified mail service by the undersigned litigant or attorney, who understands that their responsibility to obtain service and to make the return to the Clerk. The postal receipt for service must be filed with the Clerk's office to prove service. G d. Certified mail service by the office of the Sheriff of Johnson County, State of Kansas. The Sheriff of Johnson County does not do out-of-state service by certified mail. ______________________________ Plaintiff/Defendant ______________________________ ______________________________ ______________________________ Address ______________________________ Telephone American LegalNet, Inc. www.FormsWorkflow.com