Civil Process Information Sheet

Provide contact information for the person or business to be served (Defendant/Respondent). Please complete as much information as possible.

Full Name

Suffix (Jr., Sr., etc.)

Address

Apt/Unit #

City

ZIP Code

Phone Number

Best Time to Serve

Morning Afternoon Evening

Employer

Position

Alternate/Work Address

Work City

Work ZIP Code

Work Hours

Work Phone

Please review your application before submitting.

Person to be Served

Full Name:: —
Suffix (Jr., Sr., etc.):: —
Address:: —
Apt/Unit #:: —
City:: —
ZIP Code:: —
Phone Number:: —
Best Time to Serve:: —
Employer:: —
Position:: —
Alternate/Work Address:: —
Work City:: —
Work ZIP Code:: —
Work Hours:: —
Work Phone:: —

Description & Safety

Date of Birth:: —
Approximate Age:: —
Race:: —
Sex:: —
Hair Color:: —
Eye Color:: —
Height:: —
Weight:: —
Mustache:: No
Beard:: No
Goatee:: No
Glasses:: No
Tattoos:: No
Other Distinguishing Marks:: —
Vehicle Description:: —
License Plate:: —
Any aggressive/vicious/playful animals at the location?:: —
Be Violent:: No
Use Alcohol:: No
Use Drugs:: No
Avoid Service:: No
Does this person have weapons?:: —
Does this person have a concealed carry permit?:: —
Does the person know the papers are coming?:: —
Officer safety concerns / attitude toward law enforcement:: —

Your Information

Name / Business Name:: —
Agent's Name (if business):: —
Address:: —
Apt/Unit #:: —
City:: —
State:: —
ZIP Code:: —
Phone Number:: —
Work Phone:: —
Date of Birth:: —
How would you like proof of service returned?:: —

Protection Orders

Has this incident been reported to your local police?:: —
Does the deputy have to remove the restrained party?:: —

Certification

I certify that all information provided on this form is true and complete to the best of my knowledge. I understand that the address for service MUST be in Jefferson County.

I certify that all information provided is true and complete to the best of my knowledge.

Civil Process Information Sheet

Fill Out Information Sheet

Person to be Served

Person to be Served

Description & Safety

Your Information

Protection Orders

Certification

Contact Civil Unit

Phone

Hours

Location