STATE OF WASHINGTON KING COUNTY DISTRICT COURT South Division, Renton Courthouse NO. RETURN OF SERVICE - Petitioner Harassment (RTS) Respondent . I am a peace officer 18 years of age or older and 1. My name is not the petitioner. I was unable to make personal service on the respondent. I have notified the petitioner that 2. respondent was not served. Personal service was attempted on the following date(s): . 3. No service was attempted because ________________________________________________ ___________________________________________________________________________. I served with the following documents: (name of person served) Temporary Order for Protection/Notice of Hearing Petition for an Order for Protection Motion to Modify/Terminate Order for Protection Other: Reissuance of Temporary Order for Protection and Notice of Hearing Order for Protection - Harassment RETURN OF SERVICE (HARASSMENT) (RTS) – Page 1 of 2 UH-04.0110 (6/2002) - RCW 10.14.011(4) American LegalNet, Inc. www.FormsWorkFlow.com 4. I served these documents on ______________________ at __________________ at this address: (date) (time) _______________________________________________________________________________ _______________________________________________________________________________. 5. Other: _________________________________________________________________________ _______________________________________________________________________________. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. at DATED Fees: Service Mileage , Washington. Signature of Server Total Law Enforcement Agency Return this form to the location checked below: South Division, Burien Courthouse, KCDC, 601 SW 149th St., Burien, WA 98166 Regional Justice Center, 401 4th Ave N, Room 2C, Kent, WA 98032 South Division, Renton Courthouse, 3407 NE 2nd Street, Renton, WA 98056 KCSC, King County Courthouse, 516 3rd Ave, Room E-609, Seattle, WA 98104 West, Division, Seattle Courthouse, 516 3rd Ave., Room E-327, Seattle, WA 98104 South Division, RJC Location - 401 Fourth Avenue, Room GB, Kent, WA 98032 East Division, Redmond Courthouse, 8601 160th NE, Redmond, WA 98052 East Division, Issaquah Courthouse, 5415 220th Ave SE, Issaquah 98029 South Division, Kent Courthouse, 1210 Central Avenue South, Kent 98032 RETURN OF SERVICE (HARASSMENT) (RTS) – Page 2 of 2 UH-04.0110 (6/2002) - RCW 10.14.011(4) American LegalNet, Inc. www.FormsWorkFlow.com