THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) JUVENILE RETURN OF SERVICE 1. Person served Address 2. Date of Service 3. Type of service: In hand At abode Time of service The undersigned officer summoned and notified the above party to appear, with the juvenile if CHINS/delinquency case, at the above named court on the date and time specified in the Petition. Date Officer's Signature Type or print officer's name and department 1. Person served Address 2. 3. Date of Service Type of service: In hand At abode Time of service The undersigned officer summoned and notified the above party to appear, with the juvenile if CHINS/delinquency case, at the above named court on the date and time specified in the Petition. Date Officer's Signature Type or print officer's name and department NHJB-2227-DF (12/06/2006) (formerly AOC 332-008) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com