Certificate of Service (Civil Court Claim) Instructions

Enter any additional details or notes about how the documents were served that are not covered elsewhere on the certificate.

Enter the year in which the certificate was signed.

Enter the month in which the certificate was signed.

Enter the day of the month on which the certificate was signed.

Enter the full name of the person making the certificate of service statement.

Enter the name of the person signing the certificate (as their signature).

Enter the signer’s position or office held (if signing on behalf of a firm or company).

Enter the name of the firm or company the signer is signing on behalf of, if applicable.

Enter the full name of the claimant (the party bringing the claim).

Enter the full name of the defendant (the party the claim is against).

Enter the name of the court where the claim is filed.

Enter the court-issued claim or case number for this matter.

Enter the month in which the documents were served.

Enter the day of the month on which the documents were served.

Enter the year in which the documents were served.

Enter the year in which you served the documents.

Enter the month in which you served the documents.

Enter the day of the month on which you served the documents.

List the documents that were served (delivered), including the names/titles of each document.

Enter the deemed day of service for the document based on the method of service used.

Enter the fax number to which the document was sent (if service was by fax).

Enter the method by which the document was served (for example, first class post, document exchange, delivery to a permitted address, fax, or other electronic method).

Enter the full name of the person or organisation on whom the documents were served, including their position or role if applicable (e.g., partner, director).

Enter the address where service was effected, including any relevant fax number, DX number, email address, or other electronic identification if used.

If you selected an "other" option for the relationship or address type, specify what it is. Fill only if 'Other (please specify)' is 'Yes'.

Check this box if service was effected at the principal office of the partnership.

Check this box if service was effected at the principal office of the corporation.

Check this box if service was effected at the last known place of business.

Check this box if service was effected at a place of business of the partnership/company/corporation within the jurisdiction that has a connection to the claim.

Check this box if service was effected at the principal office of the company.

Check this box if service was effected at the last known principal place of business.

Check this box if the address where service was effected is the claimant’s address.

Check this box if service was effected at the person’s last known residence.

Check this box if service was effected at the principal place of business.

Check this box if the address where service was effected is the litigation friend’s address.

Check this box if service was effected at the person’s place of business.

Check this box if the address where service was effected is the solicitor’s address.

Check this box if service was effected at the person’s usual residence.

Check this box if the address where service was effected is the defendant’s address.

Check this box if the address type/relationship is not listed and you will specify the alternative.

Check this box if you served the documents by delivering them to, or leaving them at, a permitted place.

Check this box if the documents were served by Document Exchange (DX).

Enter the time the documents were sent by fax. Fill only if 'By fax machine (time sent)' is 'Yes'.

Check this box if you served the documents by fax machine and will enter the time the fax was sent.

Check this box if you served the documents by first class post or another service that provides for delivery on the next business day.

Describe the other electronic method used to serve the documents and any relevant details (e.g., platform, reference, or identification used). Fill only if 'By other electronic means (time sent)' is 'Yes'.

Enter the time at which the documents were sent by other electronic means. Fill only if 'By other electronic means (time sent)' is 'Yes'.

Check this box if you served the documents by other electronic means (not fax/email specified elsewhere) and you will provide the time sent and service details.

Describe the alternative method of service permitted by the court that you used to serve the documents. Fill only if 'Other means permitted by the court (please specify)' is 'Yes'.

Check this box if the documents were served by another method specifically permitted by the court, and provide the details in the space provided.

Provide details of the personal delivery or who the documents were left with and any relevant circumstances (especially if the document served is not a claim form). Fill only if 'Personally handed to or left with (time and details)' is 'Yes'.

Enter the time at which the documents were personally handed to someone or left with them. Fill only if 'Personally handed to or left with (time and details)' is 'Yes'.

Check this box if you served the documents by personally handing them to someone or leaving them with someone, and you will provide the time left and any required details.