At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
PROOF OF SERVICE OF SUMMONS
(Family Law—Uniform Parentage—Custody and Support)
Form Approved for Optional Use
Judicial Council of California
FL-115 [Rev. January 1, 2015]
FL-115
1.
and
a.
(1)
(2)
(3)
(7)
b.
c.
–or–
–or–
(5)
(6)
(4)
a.
I served the respondent by the following means (check proper boxes):
on (date): at (time):
b.
(1)
(2)
(name):
d.
Page 1 of 2
(8)
Code of Civil Procedure, § 417.10
www.courts.ca.gov
who is (specify title or relationship to respondent):
PROOF OF SERVICE OF SUMMONS
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
CASE NUMBER:
Family Law—Marriage/Domestic Partnership: Petition—Marriage/Domestic Partnership (form FL-100), Summons (form
FL-110), and blank Response—Marriage/Domestic Partnership (form FL-120)
Uniform Parentage: Petition to Establish Parental Relationship (form FL-200), Summons (form FL-210), and blank
Response to Petition to Establish Parental Relationship (form FL-220)
Custody and Support: Petition for Custody and Support of Minor Children (form FL-260), Summons (form FL-210), and
blank Response to Petition for Custody and Support of Minor Children (form FL-270)
Completed and blank Declaration Under
Uniform Child Custody Jurisdiction and
Enforcement Act (form FL-105)
Completed and blank Declaration of
Disclosure (form FL-140)
Completed and blank Schedule of Assets
and Debts (form FL-142)
Completed and blank Income and
Expense Declaration (form FL-150)
Completed and blank Financial Statement
(Simplified) (form FL-155)
Completed and blank Property
Declaration (form FL-160)
Request for Order (form FL-300), and blank
Responsive Declaration to Request for Order (form
FL-320)
Other (specify):
2.
3.
Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
Substituted service. I left the copies with or in the presence of
(Business) a person at least 18 years of age who was apparently in charge at the office or usual place of
business of the respondent. I informed him or her of the general nature of the papers.
(Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I
informed him or her of the general nature of the papers.
on (date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the
copies were left (Code Civ. Proc., § 415.20b) on
(date):
at (time):
Address where respondent was served:
JOHN SMITH
1 PENNY LANE
WALNUT CREEK, CA 94596
2 BROWN STREET, WALNUT CREEK, CA 94596
