Summit County Court of Common Pleas Domestic Relations Division SERVICE INSTRUCTIONS Instructions: Complete the following form and file with the Summit County Clerk of Courts - Domestic Relations Divsion, located at: 205 South High Street, 1st Floor, Akron, Ohio 44308. Case Caption: Plaintiff v. Case Number Defendant To Clerk: You are hereby requested to make service of: Final Civil Protection Order Dismissal of Civil Protection Order Re-issued Civil Protection Order (Due to lack of service) Party to be served: Plaintiff's Home Address: Party Address Address City County: State Zip Police Department Defendant's Home Address: Party Address Address City County: State Zip Attorney Clerk Use Only: notices issued with certified orders by: DR Form 005 American LegalNet, Inc. www.FormsWorkFlow.com Rev 1.2 02/06/2013