POS-050/EFS-050
ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE:
ZIP CODE:
TELEPHONE NO.: FAX NO. :
E-MAIL ADDRESS:
ATTORNEY FOR (name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CASE NUMBER:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
JUDICIAL OFFICER:
PROOF OF ELECTRONIC SERVICE
DEPARTMENT:
1.
I am at least 18 years old.
a.
My residence or business address is (specify):
b.
My electronic service address is (specify):
2.
I electronically served the following documents (exact titles):
The documents served are listed in an attachment. (Form POS-050(D)/EFS-050(D) may be used for this purpose.)
3. I electronically served the documents listed in 2 as follows:
a. Name of person served:
On behalf of (name or names of parties represented, if person served is an attorney):
b.
Electronic service address of person served :
c.
On (date):
The documents listed in item 2 were served electronically on the persons and in the manner described in an attachment.
(Form POS-050(P)/EFS-050(P) may be used for this purpose.)
Date:
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 DECLARANT) (SIGNATURE OF DECLARANT)
Page 1 of 1
Form Approved for Optional Use
Judicial Council of California
POS-050/EFS-050 [Rev. February 1, 2017]
Cal. Rules of Court, rule 2.251
www.courts.ca.gov
PROOF OF ELECTRONIC SERVICE
(Proof of Service/Electronic Filing and Service)
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signature
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