This form contains 13 fields organized into 7 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Jurisdiction
County Text
Enter the county where the affidavit is filed or where the legal service took place.
Receiver Details
receiver of papers Text
Enter the name of the individual who received the served papers.
receiver of papers Text
Re-enter or confirm the name of the person who received the served papers.
position/title of receiver Text
Enter the position or title (for example, clerk or official) of the person who received the papers.
School Info
school district's name Text
Enter the name of the school district involved, if applicable.
Service Date
day Text
Enter the day (numeric) on which the service was performed.
month Text
Enter the month (numeric or text) when the service occurred.
year yy Text
Enter the two-digit year corresponding to the service date.
Service Details
type of paper served Text
Specify the type of document served (for example, summons or complaint).
Service Location
street address Text
Provide the street address where the service was executed.
town Text
Provide the town or city where the service took place.
county Text
Enter the county corresponding to the street address of the service location.
Service Provider
name of person serving papers Text
Enter the full name of the person who formally served the legal documents.