Superior Court of Washington County of In re: No. Petitioner, and Order Allowing Service By Mail (ORRSR) Respondent. I. Basis The court has considered _________________________ [Moving party]’s motion and declaration requesting an order allowing service of the summons and petition by mail. II. Findings Based on the motion and declaration, the court Finds that the summons and petition in this matter should be served on _____________________________ [Nonmoving party] by mail in accordance with CR 4(d)(4). III. Order It is Ordered: 3.1 The summons and petition shall be served on the nonmoving party by mail by a person 18 years of age or over and competent to be a witness but not the moving party. 3.2 Two (2) copies shall be mailed postage prepaid, one by ordinary first class mail, and the other by certified mail, return receipt requested, showing when, and to whom, delivered, each showing a return address for the sender or an address through which correspondence may be directed to the sender. 3.3 The mailings shall be sent to the following address(es): Ord Allowing Serv by Mail (ORRSR) - Page 1 of 2 WPF DRPSCU 01.0285 (6/2006) - RCW 4.28.100; CR 4 (d)(4) American LegalNet, Inc. www.USCourtForms.com 3.4 These addresses are: [] [] [] The last known mailing address of the nonmoving party. The mailing address of the nonmoving party’s parent or nearest living relative. Other: 3.5 A summons and petition mailed to the nonmoving party in care of parents or other individuals shall be addressed directly to the parent or other individual with a note enclosed asking that the summons and petition be delivered to the nonmoving party. 3.6 The person mailing the summons and petition shall complete a Return of Service form. Dated: Judge/Commissioner Presented by: Signature of Moving Party or Lawyer/WSBA No. Print or Type Name Ord Allowing Serv by Mail (ORRSR) - Page 2 of 2 WPF DRPSCU 01.0285 (6/2006) - RCW 4.28.100; CR 4 (d)(4) American LegalNet, Inc. www.USCourtForms.com