Substitute Service Affidavit Form

Substitute Service Affidavit Form
Complete this form to provide an official record of substitute service in accordance with legal requirements. Please fill out all sections accurately and truthfully.
Affiant Full Name
First NameLast Name
Affiant Contact Email
example@example.com
Case Number or Reference
Court or Jurisdiction
Name of Person to be Served
First NameLast Name
Service Address (where service was attempted)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date and Time of Substitute Service
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Method of Substitute Service
Relationship of Recipient to Person Served
Affidavit Declaration (affirm the truth of your statements)
Should be Empty: