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

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

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© 2018 Family Law Self-Help Center
Page 1 of 2 – Declaration of Service (Generic)
COURT CODE: AOS
Your Name: _________________________
Address: ____________________________
City, State, Zip: ______________________
Phone: ______________________________
Email: ______________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
_
___________________________________
(name of person who needs a guardian)
A Proposed Protected Person.
CASE NO.: ____________________
DEPT: ____________________
DECLARATION OF SERVICE
A copy of the filed documents can be personally served on anyone who is required to receive
service.
A neutral person, not involved in this case or related to the parties, can personally serve the
documents directly to the person. If that is not possible, the server can personally serve the
documents on someone of suitable age and discretion who lives with the person.
The proposed guardians or relatives cannot do this.
The person who serves the documents must complete this form.
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 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)).
3. Who You Served. I served (name of person who is supposed to get the documents)
___________________________________________.
© 2018 Family Law Self-Help Center
Page 2 of 2 – Declaration of Service (Generic)
4. What Documents You Served. I served a copy of the ( check all that apply)
Petition for ____________________
Citation to Appear and Show Cause / Notice of Hearing
Other: ____________________________________________________________
5. Where You Served. I personally delivered and left the documents with: ( check one)
The Person Directly. I served the documents directly to the person at the
location below. (complete the details below)
_________________________________________
Name of Person Served
_________________________________________
Address Where Served
_________________________________________
City, State, Zip Code
Someone Who Lives with the Person. This is a person of suitable age and
discretion who lives with the person I needed to serve. (complete the details
below)
_________________________________________
Name of Person Served
_________________________________________
Address Where Served
_________________________________________
City, State, Zip Code
6. 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.
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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COURT CODE: AOS Self-Represented DISTRICT COURT CLARK COUNTY, (Family Law Self Help Center)

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Completed 15 January 2021

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