Service Provider Verification Form
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Service Provider Verification Form. This is a Washington form and can be use in Snohomish Local County.
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Tags: Service Provider Verification Form, Washington Local County, Snohomish
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
SUPERIOR COURT OF WASHINGTON
IN AND FOR SNOHOMISH COUNTY
TO
SERVICE PROVIDER VERFICATION FORM
Service Provider:
)
Phone #: (
GREETINGS:
ext.
(
Fax #:
)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Business Address:
,
the Honorable
at the
Court
(Check one)
I am
I am not
AOC
located at
County ofCertified.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or :
Hearing and/or Appointmentsadjourned date, to testify and give evidence as a witness in this action on the part of the
Date
mm/dd/yyyy
Case No.
Judge/location/type of Hearing
Time
Approval
Plaintiff/Petitioner
Actual MinutesBusiness#(attorney,
or
Hearing Time
procecuter,court staff)
Respondent/Defendant
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Began
(Signature)
the party on whose behalf this subpoena was issued for a maximum penalty Ended and all damages sustained as a
of $50
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Mileage Total for above request:
From:
to
Town/City
Town/City
Office and P.O. Address
Attach copies of the following and submit to Superior Court Administration attention Finance Division:
1.
2.
3.
Motion, Declaration and Approval of Interpreter Appointment and Payment at Public Expense form
Telephone No.:
Business Invoice: Interpreter’s name, address, phone/fax number, SS# or tax ID#
Facsimile No.:
Certification of License (if not on record) Proof of certification is required for payment and fees may varied based on AOC certification.
S:\WebForms\Superior Court\word\InterpreterVerification.doc
E-Mail Address:
Mobile Tel. No.:
RRU: 07/01/2003
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