Personal service. By personally delivering copies. (CCP 415.10)
e. By mailing (1) Date of:
c. By serving (1) Party or claimant.
PROOF OF SERVICE—SUMMONS (JOINDER)
(Use separate proof of service for each person served)
1. I served the
Request for Joinder of Employee Benefit Plan and Order, Pleading on Joinder-a. Summons and (1)
Employee Benefit Plan, blank Notice of Appearance and Response of Employee Benefit Plan
Order re JoinderNotice of Motion and Declaration for Joinder
b. On (name of party or claimant):
Other (name and title or relationship to person served):
business (1) Date of:By delivery at home
Time of: (3) Address:
(2) Place of:
2. Manner of service: (check proper box)
Substituted service on corporation, unincorporated association (including partnership), or public entity. By
leaving, during usual office hours, copies in the office of the person served with the person who apparently was in charge
and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies
were left. (CCP 41 5.20(a))
Substituted service on natural person, minor, incompetent, or candidate. By leaving copies at the dwelling house,
usual place of abode, or usual place of business of the person served in the presence of a competent member of the
household or a person apparently in charge of the office or place of business, at least 18 years of age, who was informed
of the general nature of the papers, and thereafter mailing (by first-class mail, postage prepaid) copies to the person
served at the place where the copies were left. (CCP 415.20(b)) (Attach separate declaration or affidavit stating acts
relied on to establish reasonable diligence in first attempting personal service.)
Mail and acknowledgment service. By mailing (by first-class mail or airmail) copies to the person served, together with
two copies of the form of notice and acknowledgment and a return envelope, postage prepaid, addressed to the sender.
(CCP 415.30) (Attach completed acknowledgment of receipt.)
Certified or registered mail service. By mailing to address outside California (by registered or certified airmail with return
receipt requested) copies to the person served. (CCP 415.40) (Attach signed return receipt or other evidence of
actual delivery to the person served.)
Additional page is attached.
The notice to the person served (item 3 on the copy of the summons served) was completed as follows (CCP 412.30, 415.10, and
As an individual.
As the person sued under the fictitious name of:
On behalf of:
CCP 416.60 (Minor)
CCP 416.70 (Incompetent)
CCP 416.10 (Corporation)
CCP 416.20 (Defunct Corporation)
CCP 416.90 (Individual)
CCP 416.40 (Association or
FC 2062 (Employee Benefit Plan)
By personal delivery on (date):
4. At the time of service I was at least 18 years of age and not a party to this action.
5. Fee for service:
6. Person serving
Not a registered California process server.
Name, address, telephone number, and, if
applicable, county of registration and number:
Registered California process server.
Exempt from registration under Bus. & Prof.
California sheriff, marshal, or constable.
(For California sheriff, marshal, or constable use only)
I declare under penalty of perjury that the foregoing is
true and correct and that this declaration is executed
I certify that the foregoing is true and correct and that
this certificate is executed on (date):
. . . . . . . . . . . . . . . .
Page 2 of 2
FL-375 [Rev. January 1, 2003]
Pleading on Joinder (specify title):
Other (specify code section):
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