Affidavit of Service Template

In the [Name of Court] Court of [County], [State]
Case No.: __________________________

Petitioner: [Full Name of Petitioner]
Respondent: [Full Name of Respondent]

1. Identity of Server

I, [Full Name of Server], being duly sworn, state that I am over 18 years of age, not a party to this case, and competent to serve legal documents.

Address: [Street, City, State, ZIP]
Phone: [Phone Number]
Email: [Email Address]

2. Documents Served

On [Date of Service], I served the following documents in connection with this case:
[List all documents served, e.g., Petition for Dissolution of Marriage, Summons, Financial Affidavit, Parenting Plan.]

3. Recipient Information

The documents were served upon:
Name of Recipient: [Full Legal Name]
Address of Service: [Street, City, State, ZIP]
Relationship to Case: [Petitioner / Respondent / Other]

4. Method of Service

☐ Personal Service – Delivered directly to the recipient.
☐ Substitute Service – Left with [Name and Relationship of recipient’s household member or coworker].
☐ Service by Mail – Sent via [Certified / Registered / First-Class] mail on [Date].
☐ Other Method – [Describe other service method, such as publication or posting.]

5. Time and Place of Service

Date of Service: [Month/Day/Year]
Time of Service: [Time]
Location: [Street Address, City, State]

6. Declaration

I declare under penalty of perjury under the laws of the State of [State] that the foregoing is true and correct.

Server’s Signature: __________________________
Printed Name: __________________________
Date: __________________________

Notary Acknowledgment

State of [State]
County of [County]

Subscribed and sworn before me on this _____ day of __________, 20____ , by [Server’s Full Name].

Notary Public Signature: __________________________
Printed Name: __________________________
Commission Expires: __________________________
Seal: