CLK/CT. 914 Rev. 12/11 Clerk’s web address: www.miami-dadeclerk.com
IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
DIVISION
CIVIL
DISTRICTS
OTHER
WAIVER OF SERVICE OF PROCESS
(c) Forms for Services by Mail.
(2) Waiver of Service of Process.
CASE NUMBER
PLAINTIFF(S) VS. DEFENDANT(S)
CLOCK IN
TO:
I acknowledge receipt of your request that I waive service of process in the lawsuit of ____________________________ v.
_______________________________ in the Circuit County Court in ____________________. I have also received a copy of
the complaint, two copies of this waiver, and a means by which I can return the signed waiver to you without cost to me.
I agree to save the cost of service process and an additional copy of the complaint in this lawsuit by not requiring that I, (or the entity
on whose behalf I am acting), be served with judicial process in the manner provided by Fla. R. Civ. P.1.070.
If I am not the defendant to whom the notice of lawsuit and waiver of service of process was sent, and my authority to accept service
on behalf of such person or entity is as follows: I declare that my relationship to the entity or person to whom the notice was sent and
my authority to accept service on behalf of such person or entity is as follows:
(describe relationship to person or entity and authority to accept service) _____________________________________________
_____________________________________________________________________________________________________.
I, (or the entity on whose behalf I am acting), will retain all defense or objections to the lawsuit or to the jurisdiction or venue of
the court except for any objections based on a defect in the summons or in the service of the summons.
I understand that a judgment may be entered against me, (or the party on whose behalf I am acting), if a written response is not
served upon you within 60 days from the date I received the notice of lawsuit and request for waiver of service of process.
DATED ON ____________________________
_____________________________________________
Defendant or Defendant’s Representative
AMERICANS WITH DISABILITIES ACT OF 1990
ADA NOTICE
“If you are a person with a disability who n
eeds any accommodation in order to
participate in this proceeding, you are entitled, at no cost to you, to the provision of
certain assistance. Please contact the Eleventh Judicial Circuit Court’s ADA Coordinator,
Lawson E. Thomas Courthouse Center, 175 NW 1
st
Ave., Suite 2702, Miami, FL 33128,
Telephone (305) 349-7175; TDD (305) 349-7174, Fax (305) 349-
7355 at least 7 days before
your scheduled court appearance, or immediately upon receiving this notification if the
time before the scheduled appearance is
less than 7 days; if you are hearing or voice
impaired, call 711.”
