Fillable AOS Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA (Family Law Self Help Center)

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AOS Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA (Family Law Self Help Center)

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© 2019 Family Law Self-Help Center Affidavit of Service
Page 1 of 2
AOS
Your Name:
Address:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
AFFIDAVIT OF SERVICE
A copy of the filed documents can be personally served on another party.
A neutral person who is 18 or older and not involved in this case or related to the parties can
personally serve a summons and complaint directly to the person. (NRCP 4(c)(3)). If that is not
possible, the server can personally serve the summons and complaint on someone of suitable age
and discretion who lives with the person. (NRCP 4.2(a)(2)).
Family members and significant others cannot serve papers.
Whoever serves the documents must complete this form. File this completed form at court.
I, (name of person who served the documents) _________________________________, declare
(complete EVERY SECTION below):
1. I am not a party to or interested in this action and I am over 18 years of age.
2. I was asked to serve legal documents by (name of the party who asked you to serve the
documents) _____________________________________. ( check one)
I know this person because (describe how you know the person, for example,
“we work together,” “roommates” etc.) _______________________________.
I do not know the person above.
3. What Documents You Served. I served a copy of the ( check all that apply)
Complaint for _______________
Summons
Joint Preliminary Injunction
Other: _____________________
© 2019 Family Law Self-Help Center Affidavit of Service
Page 2 of 2
4. Who You Served. I served the ( check one)
Plaintiff
Defendant
5. When You Served. I personally served the documents on (date you served the
documents) (month) ___________________________ (day) _______, 20____ at the
hour of (time) ____:____ a.m. p.m.
6. Where You Served. I personally delivered and left the documents with ( check one)
The Party to the Case. I served the documents on the party at the location
below. (complete the details below)
_________________________________________
Name of Person Served
_________________________________________
Address Where Served
_________________________________________
City, State, Zip Code
A Person Who Lives with the Party. This is a person of suitable age and
discretion who lives with the party. (complete the details below)
_________________________________________
Name of Person Served
_________________________________________
Address Where Served
_________________________________________
City, State, Zip Code
7. I am not a licensed process server; I am a natural person serving legal process without
compensation, not more than three times per year, on behalf of a litigant who is a natural
person, and therefore I am not required to be licensed pursuant to NRS 648.063(2) (2017
Nevada Laws Ch. 126 (A.B. 128)).
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAW OF THE STATE
OF NEVADA THAT THE FOREGOING IS TRUE AND CORRECT.
DATED (month) ___________________________ (day) _______, 20____.
Server’s Signature:
Server’s Printed Name:
Residential / Business Address:
City, State, Zip:
Server’s Phone Number:
/s/
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AOS Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA (Family Law Self Help Center)

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Completed 15 January 2021

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