PROOF OF SERVICE
1. At the time of service I was at least 18 years of age and not a party to this proceeding. I served copies of the Citation for
2. a. Person cited (name):________________________________________________
b. Person served: (1) person in item 2a
(2) other (specify name and title or relationship to the person named in item 2a): _____________________
___________________________________________________________________________________________
c. Address (specify): __________________________________________________________________________________________
3. I served the person named in item 2
a. by personally delivering the copies (1) on (date): ________________________ (2) at (time):______________________
b. by mailing the copies to the person served, addressed as shown in item 2c, by first-class mail, postage prepaid,
(1) on (date):____________________________ (2) from (city): ______________________________________
c. with two copies of the Notice and acknowledgement of Receipt-Civil and a postage-paid return envelope addressed to me.
(Attach completed Notice and Acknowledgement of Receipt-Civil (form POS-015).)
d. to an address outside California with return receipt requested. (Attach completed return receipt.)
e. other (specify other manner of service, and the authorizing code section and order of the court):____________________
__________________________________________________________________________________________________
4. a. Person serving (name, address, and telephone number):___________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
b. Fee for service: $_____________
c. Not a registered California process server.
d. Exempt from registration under Business and Professions Code section 22350(b)
e. Registered California process server.
f. Employee or independent contractor.
g. Registration No. (specify): ______________________________________________________________________
(1) County (specify): ______________________________________ (2) Expiration (date):______________________
5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
6. I am a California Sheriff and I certify that the foregoing is true and correct.
Date: ________________________________________
(SIGNATURE OF PERSON SERVING)
SB-9003 ABF-13-9003-301 CITATION – FREEDOM FROM PARENTAL CUSTODY AND CONTROL Page 2 of 2
Revised 4/6/2016
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