IN THE DISTRICT COURT OF WYANDOTTE COUNTY, KANSAS CIVIL COURT DEPARTMENT IN THE MATTER OF: ______________________________________ Petitioner And CASE NO: _____________________ DIVISION NO:_________________ CHAPTER 60 ______________________________________ Respondent REQUEST AND SERVICE INSTRUCTION FORM To: The Clerk of the District Court Please issue a Motion for _____________________________ and Notice of Hearing filed herewith for service on: Name of person to be served: ________________________________________________________________ Address for service is: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ The Clerk of the District Court is hereby instructed to effect service, as follows: _____ 1) Service by U.S. Mail - Postage Pre-Paid, to opposing parties at last known address by the undersigned pro se litigant. _____ 2) Certified mail service by the undersigned pro se litigant, who understands that the responsibility for obtaining service shall be their own. The Return of Service (green card) must be filed with the Clerk of the District Court prior to the Hearing date. _____ 3) Personal Service through the Office of the Sheriff of Wyandotte County, State of Kansas. (party to be served, MUST live/work in Wyandotte County, Kansas) _____ 4) Certified mail service by the Sheriff of Wyandotte County, State of Kansas. (party to be served, must live/work in the State of Kansas) _____ 5) Personal Service (other than Wyandotte County) through the Office of the Sheriff of __________________County, State of __________________. (Money Order made out to THAT Sheriff’s office must accompany paperwork) ________________________________ Your Signature Pro Se Home Address ____________________ ________________________________ Day Time Phone #________________ American LegalNet, Inc. www.FormsWorkFlow.com