Free Request for Waiver of Service - District Court of Delaware - Delaware

Case 1 :07-cv-00517-LPS Document 12 Filed 09/21 /2007 Page 1 of 1
AO 398 (Delaware Rev. 7/00)
NOTICE OF LAWSUIT AND REQUEST FOR
WAIVER OF SERVICE OF SUMMONS
TO: (A) Muhammad Arif Niaz, M.D.
as (B) l of (C)
A lawsuit has been commenced against you (or the entity on whose behalf you are addressed).
A copy of the complaint is attached to this notice. It has been filed in the United States District Court
for the District of Delaware and has been assigned docket number OY-517 UNA ,
This is not a formal summons or notification from the court, but rather my request that you sign and
retum the enclosed waiver of service in order to save the cost of serving you with ajudicial summons and
an additional copy of the complaint. The cost of service will be avoided ifl receive a signed copy ofthe
waiver within (F) 30 days after the date designated below as the date on which this Notice and
is sent. I enclose a stamped and addressed envelope (or other means of cost-free return) for your use.
An extra copy of the waiver is also attached for your records.
If you comply with this request and return the signed waiver, it will be filed with the court and
no summons will be served on you. The action will then proceed as if you had been served on the date
the waiver is filed, except that you will not be obligated to answer the complaint before 60 days from
the date designated below as the date on which this notice is sent (or before 90 days from that date if
your address is not in any judicial district of the United States).
If you do not return the signed waiver within the time indicated, I will take appropriate steps
to effect formal service in a manner authorized by the Federal Rules of Civil Procedure and will then,
to the extent authorized by those Rules, ask the court to require you (or the party on whose behalf you
are addressed) to pay the full costs of such service. In that connection, please read the statement
concerning the duty of parties to waive the service ofthe summons, which is set forth at the foot ofthe
waiver form.
I affirm that this request is being sent to you on behalf of the plaintiff, this 24th day of
August 7 200 7 _
. /\ /./
. /
Signature of Plaintiff" s Attorney
or Unrepresented Plaintiff
A4Na.rne of individual defendant (or name of officer or agent of corporate defendant)
B—Title, or other relationship of individual to corporate defendant
C—Name of corporate defendant, if any
D—District
E—Docket number of action
F—Addressee must be given at least 30 days (60 days iflocated in foreign country) in which to rerum waiver

Case 1:07-cv-00517-LPS

Document 12

Filed 09/21/2007

Page 1 of 1