Certicate of service
Name of court Claim No.
Name of Claimant
Name of Defendant
(.................
................
.................
/ /
/ /
On what day did
you serve?
The date of service is
/ /
What documents did you serve?
Please attach copies of the documents you
have not already filed with the court.
On whom did you serve?
(If appropriate include their position
e.g. partner, director).
How did you serve the documents?
(
please tick the appropriate box)
by rst class post or other service which provides for
delivery on the next business day
by delivering to or leaving at a permitted place
by personally handing it to or leaving it with
time left, where document is other than a
claim form)
(please specify)
by other means permitted by the court
(please specify)
by Document Exchange
by fax machine ( .time sent, where document
is other than a claim form)
(you may want to enclose a copy
of the transmission sheet)
by other electronic means ( time sent, where
document is other than a claim form) (please specify)
Give the address where service effected, include fax or DX
number, e-mail address or other electronic identification
B
eing the
claimant's defendant’s
solicitor's litigation friend
usual residence
last known residence
place of business
principal place of business
last known place of business
last known principal place of business
principal oce of the partnership
principal oce of the corporation
principal oce of the company
place of business of the partnership/company/
corporation within the jurisdiction with a connection
to claim
other (please specify)
I believe that the facts stated in this certicate are true.
Full name
Signed
(Claimant) (Defendant) ('s solicitor) ('s litigation friend)
Position or
oce held
(If signing on behalf of rm or company)
Date
N215 Certicate of service (09.11) © Crown copyright 2011