Attach this to the back of the original and the copies of the document that is being served. Send it to the other party's attorney, if there is one, or if the other party does not have an attorney, send it to the other party.
CERTIFICATE OF SERVICE I certify that on (date) the original of this document
was filed with the Clerk of District Court; and, a true and accurate copy of this document was served on the other party by OR Hand Delivery OR Faxed to this number
by placing it in the United States mail, postage pre-paid, and
addressed to the following:
TO: ______________________________________ ______________________________________ ______________________________________
(Your signature)
Print name
DWCD 27 Certificate of Service Revised July 2006 Page 1 of 1