%20%7BAO%20440%7D_firstPage.jpg?AWSAccessKeyId=AKIAJKLRW4A3X2WJFD7Q&Expires=1576243330&Signature=ydBt6I423G6rvPtr0%2FMbtxpj3nQ%3D)
Summons In A Civil Action (NDNY-Social Security Appeal (To Office Of General Counsel Region II) {AO 440}
This is a New York form that can be used for Northern District within Federal, District Court.
Last updated: 2/9/2012
Description
AO 440 (Rev. 02/09) Summons in a Civil Action UNITED STATES DISTRICT COURT for the Northern District of New York ) ) ) ) ) Plaintiff v. Defendant Civil Action No. SUMMONS IN A CIVIL ACTION To: (Defendant's name and address) Office of General Counsel Region II, SSA 26 Federal Plaza, Room 3904 New York, NY 10278-0004 A lawsuit has been filed against you. Within 20 days after service of this summons on you (not counting the day you received it) -- or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) -- you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff's attorney, whose name and address are: If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. Date Signature of Clerk _______________________________ Signature of Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com AO 440 (Rev. 02/09) Summons in a Civil Action (Page 2) Civil Action No. PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4(1)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) u I left the summons at the individual's residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual's last known address; or , who is on (date) u I returned the summons unexecuted because u Other (specify): . My fees are $ for travel and $ for services, for a total of $ 0.00 ; or u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) ; or ; or . I declare under penalty of perjury that this information is true. Date: Server's signature Printed name and title Server's address Additional information regarding attempted service, etc: American LegalNet, Inc. www.FormsWorkFlow.com
Related forms
-
ADR Appointment Oath
New York/Federal/District Court/Northern District/ -
ADR Selection Stipulation
New York/Federal/District Court/Northern District/ -
Affidavit Of Sponsor (Admission Form)
New York/Federal/District Court/Northern District/ -
Certificate Of Service (By Electronic Filing)
New York/Federal/District Court/Northern District/ -
Civil Case Management Plan
New York/Federal/District Court/Northern District/ -
Confidentiality Agreement For Conduct Of Early Neutral Evaluation
New York/Federal/District Court/Northern District/ -
Confidentiality Agreement For Conduct Of Mediation
New York/Federal/District Court/Northern District/ -
Criminal Case Cover Sheet
New York/Federal/District Court/Northern District/ -
Form Complaint For Appeal Of A Decision By The Commissioner Of Social Security
New York/Federal/District Court/Northern District/ -
Notice Of Appearance (For Federal Public Defender In Criminal Case)
New York/Federal/District Court/Northern District/ -
Notice Of Appearance (For US Attorneys In Criminal Case)
New York/Federal/District Court/Northern District/ -
Oath On Admission
New York/Federal/District Court/Northern District/ -
Order (To Be Admitted)
New York/Federal/District Court/Northern District/ -
Pre-Trial And Settlement Conference Statement
New York/Federal/District Court/Northern District/ -
Pro Bono Fund Voucher And Request For Reimbursement
New York/Federal/District Court/Northern District/ -
Pro Bono Panel Application Form
New York/Federal/District Court/Northern District/ -
Report Of Mediator
New York/Federal/District Court/Northern District/ -
Request For Clerks Certificate Of Entry Of Default
New York/Federal/District Court/Northern District/ -
Social Security Action - Case Assignment Form
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge David N. Hurd)
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge Lawrence E. Kahn)
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge Norman A Mordue)
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge Thomas J. McAvoy)
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Magistrate Judge David E. Peebles)
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Magistrate Judge Randolph F. Treece)
New York/Federal/District Court/Northern District/ -
Arbitration Award
New York/Federal/District Court/Northern District/ -
In Court Hourly Worksheet (CJA)
New York/Federal/District Court/Northern District/ -
Request For Transcript
New York/Federal/District Court/Northern District/ -
Stipulation Requesting Order For Extension Of Time (Judge McAvoy)
New York/Federal/District Court/Northern District/ -
Statement Of Redaction
New York/Federal/District Court/Northern District/ -
New Attorney E-Filing Registration
New York/Federal/District Court/Northern District/ -
Summons In A Civil Action (NDNY-Social Security Appeal To US Attorney General)
New York/Federal/District Court/Northern District/ -
Summons In A Civil Action (NDNY-Social Security Appeal To US Attorney)
New York/Federal/District Court/Northern District/ -
Bill Of Costs
New York/Federal/District Court/Northern District/ -
Affidavit Of Service By Mail
New York/Federal/District Court/Northern District/ -
Certificate Of Service By Mail
New York/Federal/District Court/Northern District/ -
Report Of Early Neutral Evaluation
New York/Federal/District Court/Northern District/ -
Arbitrator Compensation Voucher And Claim For Expenses
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge Gary L. Sharpe - ADR)
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge Gary L. Sharpe)
New York/Federal/District Court/Northern District/ -
Civil Complaint Pursuant To Title VII Of The Civil Rights Act As Amended
New York/Federal/District Court/Northern District/ -
Civil Rights Complaint Pursuant To 42 USC 1983
New York/Federal/District Court/Northern District/ -
Complaint For Employment Discrimination Based Upon Age
New York/Federal/District Court/Northern District/ -
Bivens Action
New York/Federal/District Court/Northern District/ -
Complaint Pursuant To The Americans With Disabilities Act
New York/Federal/District Court/Northern District/ -
Petition For Admission To Practice
New York/Federal/District Court/Northern District/ -
Uniform Pretrial Scheduling Order (Judge Glenn T. Suddaby)
New York/Federal/District Court/Northern District/ -
Waiver Of Service Of Summons (Notice Of Lawsuit And Request For Waiver)
New York/Federal/District Court/Northern District/ -
Summons In A Civil Action (NDNY-Social Security Appeal (To Office Of General Counsel Region II)
New York/Federal/District Court/Northern District/ -
Notice Of Intent To Request Redaction
New York/Federal/District Court/Northern District/
Form Preview
Contact Us
Success: Your message was sent.
Thank you!