AFFIDAVIT IN SUPPORT OF DEFAULT AND COMPLIANCE WITH
SERVICEMEMBERS CIVIL RELIEF ACT OF 2003
I, _________________________________, am the Plaintiff in this case and state that:
PRINT YOUR NAME
1. The Defendant was served with the Summons and Complaint in this case on _____________
DATE
and proof of service was filed in the Clerk’s office on ________________.
DATE
2. The Defendant has not filed an Answer with the Court, has not otherwise appeared in this
case and the time for filing an Answer has now expired.
3. There has been compliance with the Servicemembers Civil Relief Act of 2003 as follows:
I do have personal knowledge that the Defendant is not currently in the armed forces of
the United States and is not a commissioned officer of the National Oceanic and Atmospheric
Administration or the Public Health Service. Further, to the best of my information and belief,
the Defendant has not received notice of induction or notice to report for military service.
I know the Defendant is not in the military based on the following facts:
OR
________________________________________
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PLAINTIFF,
v.
_________________________________
PRINT THE OTHER PERSONS NAME
DEFENDANT.
_______DRB
___________
Judge: _________________
SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
FAMILY COURT
Domestic Relations Branch
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Affidavit in Support of Default and SCRA Compliance - Page 1 of 3
I do not have personal knowledge of the Defendant’s service obligations, but I have
checked with the Defense Manpower Data Center, the National Oceanic and Atmospheric
Administration and the U.S. Public Health Service and verified that Defendant is not enlisted
for service in its armed forces or a commissioned division and is not a commissioned officer
of the National Oceanic and Atmospheric Administration or the Public Health Service.
I RESPECTFULLY REQUEST that the Clerk enter a default judgment and set the matter for a
hearing as soon as possible.
I solemnly swear or affirm under criminal penalties for the making of a false statement that I have
read the foregoing Affidavit in Support of Default and that the factual statements made in it are
true to the best of my personal knowledge, information and belief.
I declare under penalty of perjury that the foregoing is true and correct.
If this document is to be signed outside the geographic boundaries of the United States, Puerto
Rico, the United States Virgin Islands, and any territory or insular possession subject to the
jurisdiction of the United States, additional requirements must be met prior to signing.
See Super. Ct. Dom. Rel. R. 2(c)(1)(B).
____________________________________
SIGN YOUR NAME
____________________________________
PRINT YOUR NAME
____________________________________
HOME ADDRESS 1
____________________________________
HOME ADDRESS 2
SUBSTITUTE ADDRESS: C
HECK BOX IF YOU
HAVE WRITTEN SOMEONE ELSES ADDRESS
BECAUSE YOU FEAR HARASSMENT OR HARM.
____________________________________
DATE
____________________________________
PHONE NUMBER
____________________________________
EMAIL ADDRESS
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Affidavit in Support of Default and SCRA Compliance - Page 2 of 3
DETERMINING THE DEFENDANTS MILITARY STATUS
A. If you have the Defendant’s Social Security Number and Internet Access
Go to https://www.dmdc.osd.mil/appj/scra/index.jsp, the Defense Manpower Data Center site,
to confirm that the Defendant is not in the forces of the United States, a commissioned officer
of the National Oceanic and Atmospheric Administration or the Public Health Service. You
will be required to enter the last name and Social Security number of the individual. The form
will also ask for a first name, middle initial and date of birth to aid in the search.
B. If you do not have Internet Access
Make your request by mail and use the Defendant’s date of birth if you do not have the social
security number. Send your request to:
Defense Manpower Data Center
Attn: Military Verification
1600 Wilson Blvd., Suite 400
Arlington, VA 22209-2593
Remember to send a stamped, self-addressed envelope with your mail request.
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Affidavit in Support of Default and SCRA Compliance - Page 3 of 3