1. I am at least 18 years old, not a party to this action, and not a protected person listed in any of the orders.
c.
2.
Form Approved for Optional Use
Judicial Council of California
FL-330 [Rev. January 1, 2012]
PROOF OF PERSONAL SERVICE
Code of Civil Procedure, § 1011
www.courts.ca.gov
Page 1 of 1
Person served (name):
FL-330
ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCYSTATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
BRANCH NAME:
CITY: ZIP CODE:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
PROOF OF PERSONAL SERVICE
FOR COURT USE ONLY
CASE NUMBER:
HEARING DATE:
DEPT.:
HEARING TIME:
(If applicable, provide):
b.
I served copies of the following documents (specify):
(SIGNATURE OF PERSON WHO SERVED THE PAPERS)
Date:
(TYPE OR PRINT NAME OF PERSON WHO SERVED THE PAPERS)
3.
4. By personally delivering copies to the person served, as follows:
a.
Date: Time:
Address:
5. I am
not a registered California process server. exempt from registration under Business & Profession
Code section 22350(b).
d.a.
a registered California process server.
a California sheriff or marshal.
e.
b.
an employee or independent contractor of a
registered California process server.
c.
My name, address, and telephone number, and, if applicable, county of registration and number (specify):
6.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
I am a California sheriff or marshal and I certify that the foregoing is true and correct.
7.
8.
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
