© 2016 Family Law Self-Help Center Certificate of Service
CSERV
Name:
Address:
Telephone:
Email Address:
In Proper Person
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
CERTIFICATE OF SERVICE
I, (name of person who served the document) __________________________________,
declare under penalty of perjury under the law of the State of Nevada that the following is true
and correct. That I served the: (check all that apply)
Motion Answer Financial Disclosure Form
Opposition Reply Notice of Entry of Judgment / Order / Decree
Other: ______________________________________________
In the following manner: (check one)
Mail: By depositing a copy in the U.S. Mail in the State of Nevada, postage prepaid, on
the (day) ________ of (month) _________________, 20___ addressed to:
(Print the name and address of the person you mailed the document to)
________________________________
________________________________
________________________________
Electronic: Through the Court’s electronic service system on (date) ________________
at (time) ___________ □ a.m. □ p.m.
DATED this _____ day of ________________, 20___
Submitted By: (Signature)_________________________________
