SERVICE REQUEST FORM

OFFICE INFORMATION/REQUESTOR Today's Date____________________

_________ DEADLINE:_

___________ Requested by:_

_______ Billing Ref:

Regular Rush Hot Rush

COURT FILING

CASE NO_______________________COURT______________________________BRANCH_________________________________

ADDRESS______________________________________________________________________________________________________

DOCUMENT(S)_________________________________________________________________________________________________

________________________________________________________________________________________________________________

FILE____CONFORM____RECORD_____CERTIFY______COPY______SERVE_______FEE______(check all that apply)

PROCESS SERVER

(1) NAME(S)____________________________________________________________________________________________________

ADDRESS_______________________________________________________________________________________________________

(2) NAME(S)_____________________________________________________________________________________________________

ADDRESS_______________________________________________________________________________________________________

TELEPHONE______________________________________VEHICLE DESCRIPTION_______________________________________

INDIVIDUAL____AGENT FOR PROCESS___CUST. OF RECORDS___PERSON IN CHARGE_____________OTHER_______

AVAILABLE HOURS______________PHYSICAL DESCRIPTION: AGE___SEX___RACE___HGT________WEIGHT__________

EYES________HAIR______OTHER DESCRIPTIONS__________________________________________________________________

SPECIAL INSTRUCTIONS_________________________________________________________________________________________

PROCESS SERVER INFORMATION: STAKE OUT TIME__________________ ADV. FEE__________________________

ATTEMPS (1)_________________________(2)_____________________________(3)___________________________________

EXPLANATION OF EVENTS________________________________________________________________________________

Due Diligence: Yes___ No____ Mailing: Yes___ No___ Proof: yes___ no____

SAFARI EXPRESS