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INFORMATION SHEET FOR PROOF OF SERVICE—CIVIL
USE OF THIS FORM
This form is designed to be used to show proof of service of documents by (1) personal service, (2) mail, (3) overnight
delivery, (4) messenger service, or (5) fax.
Also, this proof of service form should not be used to show proof of electronic service. For that purpose, use Proof of
Electronic Service (form POS-050).
A person must be over 18 years of age to serve the documents. The person who served the documents must complete
the Proof of Service. A party to the action cannot serve the documents.
The Proof of Service should be typed or printed. If you have Internet access, a fillable version of this proof of service form
is available at www.courts.ca.gov/forms.htm.
Second box, left side: Print the name of the county in which the legal action is filed and the court's address in this box.
The address for the court should be the same as the address on the documents that you served.
Third box, right side: State the judge and department assigned to the case, if known.
First box, top of form, right side: Leave this box blank for the court’s use.
Complete items 1–6:
You are stating that you are over the age of 18.
Print your home or business address.
List each document that you served. If you need more space, check the box in item 4, complete the Attachment to
Proof of Service—Civil (Documents Served) (form POS-040(D)), and attach it to form POS-040.
Provide the names, addresses, and other applicable information about the persons served. If more than one person
was served, check the box on item 5, complete the Attachment to Proof of Service—Civil (Persons Served) (form
POS-040(P)), and attach it to form POS-040.
Check the box before the method of service that was used, and provide any additional information that is required.
The law may require that documents be served in a particular manner (such as by personal delivery) for certain
purposes. Service by fax generally requires the prior agreement of the parties.
You must sign and date the proof of service form. By signing, you are stating under penalty of perjury that the
information that you have provided on form POS-040 is true and correct.
PROOF OF SERVICE—CIVIL
(Proof of Service)
POS-040 [Rev. March 15, 2019]
GENERAL INSTRUCTIONS
Second box, right side: Print the case number in this box. The case number should be the same as the case number on
the documents that you served.
2.
1.
4.
5.
(This information sheet is not part of the official proof of service form and does not need to be copied, served, or filed.)
Certain documents must be personally served. For example, an order to show cause and temporary restraining order
generally must be served by personal delivery. You must determine whether a document must be personally delivered or
can be served by mail or another method.
Complete the top section of the proof of service form as follows:
Fourth box, left side: Check the method of service that was used. You should check only one method of service and
should show proof of only one method on the form. If you served a party by several methods, use a separate form to show
each method of service.
Third box, left side: Print the names of the plaintiff/petitioner and defendant/respondent in this box. Use the same names
as are on the documents that you served.
First box, left side: In this box print the name, address, and telephone number of the person for whom you served the
documents.
6.
If service was by fax service, print the fax number from which service was made.
3.
POS-040
Page 3 of 3
This proof of service form should not be used to show proof of service of a summons and complaint. For that purpose,
use Proof of Service of Summons (form POS-010).
For your protection and privacy, please press the Clear
This Form button after you have printed the form.