© 2017 Family Law Self-Help Center Proof of Service (Contempt)
2
OR
Personal Service:
I am not a party to nor interested in the outcome of this action, I am over 18 years
of age, and I ( check one) am / am not a licensed process server or an
employee of a licensed process server. I served the documents named above by
delivering and leaving the documents with (name of person served)
________________________________________________ at (street address)
_______________________________________ (city) _____________________,
(state) _____________, (zip code) ________. The documents were served on the
(day you served the documents) ________ day of (month) _____________, 20___
at the hour of (time) ____:____ am pm. If the person who was served is not
the party, the person served is a person of suitable age and discretion that resides
with the party.
( check if applicable)
I am not a licensed process server; I am a natural person serving legal process without
compensation, not more than three times per year, on behalf of a litigant who is a natural
person, and therefore I am not required to be licensed pursuant to NRS 648.063(2) (2017
Nevada Laws Ch. 126 (A.B. 128)).
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAW OF THE STATE
OF NEVADA THAT THE FOREGOING IS TRUE AND CORRECT.
DATED (month) ___________________________ (day) _______, 20____.
Server’s Signature:
Server’s Printed Name:
Residential / Business Address:
City, State, Zip:
Server’s Phone Number:
Server’s License/Registration Number:
(if applicable)
/s/
