Free POS-040 Proof of Service--Civil (Proof of Service) - California


File Size: 33.1 kB
Pages: 3
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: Judicial Council of California
Word Count: 1,701 Words, 10,280 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courtinfo.ca.gov/forms/documents/pos040.pdf

Download POS-040 Proof of Service--Civil (Proof of Service) ( 33.1 kB)


Preview POS-040 Proof of Service--Civil (Proof of Service)
POS-040
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT :
CASE NUMBER:

PROOF OF SERVICE--CIVIL Check method of service (only one):
By Personal Service By Messenger Service By Mail By Fax By Overnight Delivery By Electronic Service
JUDGE: DEPT.:

(Do not use this proof of service to show service of a Summons and complaint.) 1. At the time of service I was over 18 years of age and not a party to this action. 2. My residence or business address is:

3.

The fax number or electronic notification address from which I served the documents is (complete if service was by fax or electronic service): I served the following documents (specify):

4. On (date):

The documents are listed in the Attachment to Proof of Service­Civil (Documents Served) (form POS-040(D)). 5. I served the documents on the person or persons below, as follows: a. Name of person served: b. (Complete if service was by personal service, mail, overnight delivery, or messenger service.) Business or residential address where person was served:

c.

(Complete if service was by fax or electronic service.) (1) Fax number or electronic notification address where person was served:

(2) Time of service: The names, addresses, and other applicable information about persons served is on the Attachment to Proof of Service--Civil (Persons Served) (form POS-040(P)). 6. The documents were served by the following means (specify): a. By personal service. I personally delivered the documents to the persons at the addresses listed in item 5. (1) For a party represented by an attorney, delivery was made to the attorney or at the attorney's office by leaving the documents, in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an individual in charge of the office, between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of eight in the morning and six in the evening.

(Continued on back)
Form Approved for Optional Use Judicial Council of California POS-040 [Rev. January 1, 2009]

PROOF OF SERVICE--CIVIL (Proof of Service)

Code of Civil Procedure., §§ 1010.6, 1011, 1013, 1013a, 2015.5; Cal. Rules of Court, rules 2.260, 2.306 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com

POS-040
CASE NAME CASE NUMBER:

6. b.

By United States mail. I enclosed the documents in a sealed envelope or package addressed to the persons at the addresses in item 5 and (specify one): (1) (2) deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid.

placed the envelope for collection and mailing, following our ordinary business practices. I am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service, in a sealed envelope with postage fully prepaid. I am a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at (city and state):

c.

By overnight delivery. I enclosed the documents in an envelope or package provided by an overnight delivery carrier and addressed to the persons at the addresses in item 5. I placed the envelope or package for collection and overnight delivery at an office or a regularly utilized drop box of the overnight delivery carrier. By messenger service. I served the documents by placing them in an envelope or package addressed to the persons at the addresses listed in item 5 and providing them to a professional messenger service for service. (A declaration by the messenger must accompany this Proof of Service or be contained in the Declaration of Messenger below.) By fax transmission. Based on an agreement of the parties to accept service by fax transmission, I faxed the documents to the persons at the fax numbers listed in item 5. No error was reported by the fax machine that I used. A copy of the record of the fax transmission, which I printed out, is attached. By electronic service. Based on a court order or an agreement of the parties to accept service by electronic transmission, I caused the documents to be sent to the persons at the electronic notification addresses listed in item 5. I did not receive, within a reasonable time after the transmission, any electronic message or other indication that the transmission was unsuccessful.

d.

e.

f.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

___________________________________________
(TYPE OR PRINT NAME OF DECLARANT)

______________________________________
(SIGNATURE OF DECLARANT)

(If item 6d above is checked, the declaration below must be completed or a separate declaration from a messenger must be attached.)

DECLARATION OF MESSENGER By personal service. I personally delivered the envelope or package received from the declarant above to the persons at the addresses listed in item 5. (1) For a party represented by an attorney, delivery was made to the attorney or at the attorney's office by leaving the documents in an envelope or package, which was clearly labeled to identify the attorney being served, with a receptionist or an individual in charge of the office, between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of eight in the morning and six in the evening. At the time of service, I was over 18 years of age. I am not a party to the above-referenced legal proceeding. I served the envelope or package, as stated above, on (date): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

___________________________________________
(NAME OF DECLARANT)

__________________________________________
(SIGNATURE OF DECLARANT)

POS-040 [Rev. January 1, 2009]

PROOF OF SERVICE--CIVIL (Proof of Service)

POS-040

INFORMATION SHEET FOR PROOF OF SERVICE--CIVIL
(This information sheet is not part of the official proof of service form and does not need to be copied, served, or filed.) USE OF THIS FORM Note: This proof of service form should not be used to show proof of service of a summons and complaint. For that purpose, use Proof of Service of Summons (form POS-010). This form is designed to be used to show proof of service of documents by (1) personal service, (2) mail, (3) overnight delivery, (4) messenger service, (5) fax, or (6) electronic transmission. Certain documents must be personally served. For example, an order to show cause and temporary restraining order generally must be served by personal delivery. You must determine whether a document must be personally delivered or can be served by mail or another method. GENERAL INSTRUCTIONS A person must be over 18 years of age to serve the documents. The person who served the documents must complete the Proof of Service. A party to the action cannot serve the documents. The Proof of Service should be typed or printed. If you have Internet access, a fillable version of this proof of service form is available at www.courtinfo.ca.gov/forms. Complete the top section of the proof of service form as follows: First box, left side: In this box print the name, address, and telephone number of the person for whom you served the documents. Second box, left side: Print the name of the county in which the legal action is filed and the court's address in this box. The address for the court should be the same as the address on the documents that you served. Third box, left side: Print the names of the plaintiff/petitioner and defendant/respondent in this box. Use the same names as are on the documents that you served. Fourth box, left side: Check the method of service that was used. You should check only one method of service and should show proof of only one method on the form. If you served a party by several methods, use a separate form to show each method of service. First box, top of form, right side: Leave this box blank for the court's use. Second box, right side: Print the case number in this box. The case number should be the same as the case number on the documents that you served. Third box, right side: State the judge and department assigned to the case, if known. Complete items 1­6: 1. You are stating that you are over the age of 18 and that you are not a party to this action. 2. Print your home or business address. 3. If service was by fax service or electronic service, print the fax number or electronic notification address from which service was made. 4. List each document that you served. If you need more space, check the box in item 4, complete the Attachment to Proof of Service--Civil (Documents Served) (form POS-040(D)), and attach it to form POS-040. 5. Provide the names, addresses, and other applicable information about the persons served. If more than one person was served, check the box on item 5, complete the Attachment to Proof of Service--Civil (Persons Served) (form POS-040(P)), and attach it to form POS-040. 6. Check the box before the method of service that was used, and provide any additional information that is required. The law may require that documents be served in a particular manner (such as by personal delivery) for certain purposes. Service by fax or electronic transmission generally requires the prior agreement of the parties. You must sign and date the proof of service form. By signing, you are stating under penalty of perjury that the information that you have provided on form POS-040 is true and correct.

POS-040 [Rev. January 1, 2009]

PROOF OF SERVICE--CIVIL (Proof of Service)