Form 844r Return of Service (3/2015) Page 1 of 1 Vermont Superior Court www.vermontjudiciary.org Docket Number: Plaintiff Defendant v. RETURN OF SERVICE On I served the following documents upon ORDER(S): MOTION(S): Child Support Interim Temp Final Contempt Order Domestic Scheduling Order Entry Order Re: Final Order/Decree: Divorce, Parentage, Dissolution, Legal Separation Genetic Testing Order Interim Domest ic Order Medical Support Order Parentage PRR/PCC Order/Parenting Plan Interim Temp Final Qualified Domestic Relations Order ( QDRO) Show Cause Order Temporary Order Other: Contempt Child Support Other Dismissal Enforce: Child Support Final Order PRR PCC Alimony Extend Relief From Abuse Order License Suspension Modify: Child Support PRR PCC Alimony Modify Relief From Abuse Order Reconsider Vacate Order Wage Withholding Other Motion: Documents Initiating A Case Other Summons and Complaint for: Divorce Legal Separation Parentage Annulment Civil Union Dissolution Income & Expense Affidavit Blank Notice of Appearance (Attorney or SRL) Income & Expense Affidavit (Form 813) prepared by Pl aintiff Def endant IFP Application Notice of Hearing or Hearing Cancellation Affidavit in support of Motion by delivering a copy of these documents to . Date Fees Service Fee $ miles at $. per mile $ Total $ American LegalNet, Inc. www.FormsWorkFlow.com