Proof Of Service (Appellate Division) {APP-109}

APP-109, Proof of Service (Appellate Division), Instructions • This form is only for providing proof that a document has been served (delivered) in a proceeding in the superior court appellate division. If you are serving a document electronically, please use Proof of Electronic Service (Appellate Division) (form APP-109E). • The person who serves (delivers) a document in this case and who fills out this form: o Must be at least 18 years old o Must NOT be a party in this case • Before you fill out this form, read What Is Proof of Service? (form APP-109-INFO) to understand your responsibilities. Judicial Council of California, Rev. January 1, 2017, Optional Form, www.FormsWorkFlow.com