Fillable JV-510 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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JV-510 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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1.
Form Adopted for Mandatory Use
Judicial Council of California
JV-510 [Rev. January 1, 2019]
www.courts.ca.gov
PROOF OF SERVICE—JUVENILE
Page 1 of 2
Social worker Probation officer
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
4.
a.
Name:
d.
b.
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
3.
a.
Name:
d.
Method of service:
b.
Date of service:
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
2. Mother
Legal guardian
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE 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:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NAME:
PROOF OF SERVICE—JUVENILE
FOR COURT USE ONLY
CASE NUMBER:
JV-510
I served a copy of the
(name of document) on
(hearing
date, if applicable) on the following persons or entities by personally delivering a copy to the person served, OR by delivering a copy to
a competent adult at the usual place of residence or business of the person served and thereafter mailing a copy by first-class mail to
the person served at the place where the copy was delivered, OR by placing a copy in a sealed envelope and depositing the envelope
directly in the U.S. mail with postage prepaid or at my place of business for same-day collection and mailing with the U.S. mail,
following our ordinary business practices with which I am readily familiar, OR by delivering a copy by electronic means at the electronic
service address indicated below:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Date of service:
Father
Legal guardian
FatherMother
Legal guardian
Father
Mother
(SIGNATURE)
JV-510 [Rev. January 1, 2019] Page 2 of 2
PROOF OF SERVICE—JUVENILE
Date:
JV-510
CASE NAME:
CASE NUMBER:
(TYPE OR PRINT NAME)
5.
Child (if 10 years of age or older)
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
6.
Child (if 10 years of age or older)
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
12. Indian custodian
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Other (specify):
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
10. Tribe/Bureau of Indian Affairs
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Grandparent
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
8. CASA volunteer
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Child's caregiver/De facto parent
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
7. Child's sibling
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
Attorney
a.
Name:
d.
b.
Date of service:
c.
Mailing or electronic service address:
At the time of service I was at least 18 years of age. If service was made in person or by mail, I am not a party to this matter. I
am a resident of or employed in the county where the service occurred. My residence or business mailing address, or my
electronic service address is (specify):
14.
I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct.
9.
11.
13.
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Method of service:
Additional persons served are listed on form JV-510(A) Attachment to Proof of Service–Juvenile (Additional Persons Served)
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JV-510 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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Completed 26 October 2021

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