In The District Court of ______ County, Kansas IN THE MATTER OF THE APPOINTMENT OF ____________________________ AS SPECIAL PROCESS SERVER (Revised 7/05) APPLICATION AND ORDER APPOINTING SPECIAL PROCESS SERVER On this ________ day of _______________, _______, upon the oral application of the undersigned attorney, _______________________ is hereby appointed and authorized to serve as a Special Process Server to serve process in all cases pursuant to K.S.A. Chapters 59, 60 and 61 for a period ending ____________________, ________. Signature, Judge or Clerk Approved: _______________________________ Attorney signature SC# American LegalNet, Inc. www.FormsWorkflow.com