CW-9024
CASE NAME: CASE NUMBER:
(Note: If you serve Consent to Electronic Filing and Service of Pleadings, and Notice of Electronic Service Address
by mail, you should use form POS-030, Proof of Service by First-Class Mail-Civil, instead of using this page.)
PROOF OF ELECTRONIC SERVICE
CONSENT TO ELECTRONIC FILING AND SERVICE OF PLEADINGS
AND NOTICE OF ELECTRONIC SERVICE ADDRESS
1. I am at least 18 years old and not a party to this action.
a. My residence or business address is (specify):
b. My electronic service address is (specify):
2. I electronically served a copy of the Consent to Electronic Service and Notice of Electronic Service Address as
follows:
a. Name of person served:
b. Electronic service address of person served:
On behalf of (name or names of parties represented, if person served is an attorney):
c. On (date):
d. At (time):
Electronic service of the Consent to Electronic Service and Notice of Electronic Service Address on
additional persons is described in an attachment.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR DECLARANT) (SIGNATURE OF PARTY OR DECLARANT)
CW-9024 REV 6/13/16
CONSENT TO ELECTRONIC FILING AND SERVICE
AND NOTICE OF ELECTRONIC SERVICE ADDRESS
(Electronic Filing and Service)
Page 2 of 2
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