© 2019 Family Law Self-Help Center Proof of Alternate Service
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COURT CODE: PSER
Your Name:
Address:
Telephone:
Email Address:
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
PROOF OF ALTERNATE SERVICE
I certify that Defendant was served by all of the following alternate methods authorized
by the Court. ( check all options that the judge ordered)
Mail: I mailed a copy of the summons and complaint on (date you mailed the
documents) ___________________ to Defendant’s last known address below:
_________________________________________
Defendant’s Last Known Street Address
_________________________________________
City, State, Zip Code
Although certified mail is not required, if you sent the documents by
certified mail, attach the proof of certified mailing to this form.
Posting on Door: I posted a copy of the complaint and summons on Defendant’s
door on (date) _______________________.
