address is (specify):
At the time of service I was at least 18 years of age.
I electronically served the documents listed in 3. as follows:
Name of person served:
Page 1 of 1
Electronic service address of person served:
On behalf of (name or names of parties represented, if person served is an attorney):
My residence business
The documents listed in 3. were served electronically on the persons and in the manner described in an attachment (write
"APP-009E, Item 4" at the top of the page).
I electronically served the following documents (exact titles):
PROOF OF ELECTRONIC SERVICE
(Court of Appeal)
Form Approved for Optional Use
Judicial Council of California
APP-009E [New January 1, 2017]
Superior Court Case Number:
Court of Appeal Case Number:
Notice: This form may be used to provide proof that a document has been
served in a proceeding in the Court of Appeal. Please read Information
Sheet for Proof of Service (Court of Appeal) (form APP-009-INFO) before
completing this form.
PROOF OF ELECTRONIC SERVICE (Court of Appeal)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(TYPE OR PRINT NAME OF PERSON COMPLETING THIS FORM)
(SIGNATURE OF PERSON COMPLETING THIS FORM)
My electronic service address is (specify):
For your protection and privacy, please press the Clear
This Form button after you have printed the form.