JOHN D. KINARD DISTRICT CLERK GALVESTON COUNTY REQUEST FOR ISSUANCE OF SERVICE Case Number: Court Description: Name(s) of Documents to be served: SERVICE TO BE ISSUED ON (Please list exactly as the name appears in the pleading to be served) Issue Service To: Address of Service: City, State & Zip: Agent (IF APPLICABLE) Citation Temporary Restraining Order Protective Order Garnishment Subpoena Other (Please Describe): TYPE OF SERVICE TO BE ISSUED: Citation by Posting Precept Citation Scire Facias Habeas Corpus Citation by Publication Notice Attachment Injunction Citation Rule 106 Service Secretary of State Citation Certiorari Sequestration All service fees for Sheriff and Constable are collected by the clerk of court at the time of request. UPON ISSUANCE OF SERVICE: (CHECK ONE ONLY) Send to Sheriff Galveston County Constable Name and Address Call attorney for pick up (Phone Number): Mail to attorney at: Email Service to: Civil Process Server (Include the name of the Authorized Person to pickup): District Clerk serve by certified mail Send to League City ISSUANCE OF SERVICE REQUESTED BY: Attorney/Party Name: Phone Number: Email Address: Revision 2.0 American LegalNet, Inc. www.FormsWorkFlow.com