Washington > Statewide > Antiharassment
Return Of Service UH-04.0110 - Washington
| Return Of Service Form. This is a Washington form and can be used in Antiharassment Statewide . |
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COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against: : : : Defendant(s) : ...................................................... Index No. Calendar No. JUDICIAL SUBPOENA COURT OF WASHINGTON FORPEOPLE OF THE STATE OF NEW YORK THE TO NO. RETURN OF SERVICE HARASSMENT (RTS) Petitioner vs. GREETINGS: Respondent WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court . I am a peace officer 18 years of age or older and 1. My name is located at County of not in roomthe petitioner. the , on day of , 20 , at o'clock in the noon, and at any recessed I was unable to make personal service on witness in this I on the part of the 2. adjourned date, to testify and give evidence as athe respondent. actionhave notified the petitioner that or respondent was not served. Personal service was attempted on the following date(s): Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. . Witness, Honorable , one of the Justices of the No service was attempted because ________________________________________________ Court in ___________________________________________________________________________. County, day of , 20 3. I served (name of person served) with the following documents: (Attorney must sign above and type name below) Temporary Order for Protection/Notice of Hearing Petition for an Order for Protection Reissuance of Temporary Order for Protection and Notice of Hearing Order for Protection - Harassment Motion to Modify/Terminate Order for Protection Other: Attorney(s) for Office and P.O. Address RETURN OF SERVICE (HARASSMENT) (RTS) Page 1 of 2 UH-04.0110 (6/2002) - RCW 10.14.011(4) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. 4. : Calendar No. I served these documents on ______________________ at __________________ at this address: (date) (time) : JUDICIAL SUBPOENA Plaintiff(s) _______________________________________________________________________________ -against: _______________________________________________________________________________. : Other: _________________________________________________________________________ : _______________________________________________________________________________. 5. Defendant(s) : ...................................................... I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. THE PEOPLE OF THE STATE at NEW YORK OF DATED TO Fees: , Washington. Service Mileage Signature of Server GREETINGS: Total Law Enforcement Agency WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address RETURN OF SERVICE (HARASSMENT) (RTS) Page 2 of 2 UH-04.0110 (6/2002) - RCW 10.14.011(4) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com
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