FAPA 226 Certificate of Service Page 1 of 1 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF Case No: Petitioner v. CERTIFICATE OF SERVICE Respondent (Family Abuse Prevention Act) I, (name) , declare that I am a resident of the state of . I am a competent person 18 years of age or older. I am not a party to or lawyer in this case, and not the employee of a party. I certify that on (date) at (time) (am/pm), I served the Respondent named above by delivering the following documents in person to (address or location of service) I served true copies of the original (check all that apply): Restraining Order to Prevent Abuse and Petition for Restraining Order to Prevent Abuse Order Renewing Restraining Order and Petition to Renew Restraining Order Order to Show Cause re: Modifying Restraining Order and Motion for Order to Show Cause & Declaration in Support with the Notice to Respondent/Request for Hearing, Instructions for Contesting a Family Abuse Prevention Act Restraining Order, and Notice of Confidential Information Form (CIF) Filing Other (name all forms or documents served) I hereby declare that the above statements are true to the best of my knowledge and belief. I understand they are made for use as evidence in court and I am subject to penalty for perjury. Date Signature of Server Print Name If person serving is NOT a sheriff or sheriff222s deputy, address and phone number of server: American LegalNet, Inc. www.FormsWorkFlow.com