© 2017 Family Law Self-Help Center Affidavit of Service (TPR)
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AOS
Your Name:
Address:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Parental Rights as to:
(children’s names)
____________________________________
____________________________________
____________________________________
Minor Child(ren).
CASE NO.: ____________________
DEPT: ____________________
AFFIDAVIT OF SERVICE (TERMINATION OF PARENTAL RIGHTS)
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. What Documents Served. I served the ( check all that apply)
Petition to Terminate Parental Rights
Notice of Hearing
Other: _________________________________________________
3. Who Was Served. I personally handed the documents above to (name of person served)
_____________________________________________ who is: ( check one)
The parent against whom the petition to terminate rights is filed.
The parent’s nearest known relative living in Nevada (this option is only allowed
if the parent’s location is truly unknown).
The child’s legal guardian.
This form should not be filled out by the Petitioner. This form must be filled out by the
person who personally served the documents on the other party. This should be a
person over 18, who is not a party to or a person interested in the case.
