This form contains 95 fields organized into 30 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Person Details
Date of Birth or Age Text
Enter the person's date of birth or their age, providing an estimate if the exact date is unknown.
Race/Ethnicity Text
Enter the person's race or ethnicity.
Special Marks or Features Text
Describe any special marks or features of the person, such as tattoos or scars.
Vehicle Description Text
Provide a description of the person's vehicle, including its type, model, year, color, and plate number.
Picture of Person Included Checkbox
Check this box if you are including a picture of the person along with this form.
Alternate Service Address
Alternate Service Address Text
Enter the street address for the alternate service location.
Alternate Home Address Checkbox
Check this box if the alternate address where the person or entity should be served is a home address.
Alternate Business Address Checkbox
Check this box if the alternate address where the person or entity should be served is a business address.
Alternate Service City Text
Enter the city for the alternate service location.
Alternate Service State Text
Enter the state for the alternate service location.
Alternate Service Zip Code Text
Enter the zip code for the alternate service location.
Alternate Service Gate Code or Special Instructions Text
Provide any gate code or special instructions for serving at the alternate address.
Alternate Service Best Time to Serve Text
Enter the best time of day to serve at the alternate address, for example, 8 a.m. to noon.
County of Sheriff or Marshal
County Name Text
Enter the name of the county for which the sheriff or marshal will serve the court papers.
Court Case Name
Court Case Name Text
Enter the full name of the court case.
Court Case Number
Court Case Number Text
Provide the unique identifying number assigned to the court case.
Court Case Number Text
Enter the official court case number for this legal proceeding.
Court Case Number Text
Please provide the court case number for this matter.
Court Case Number Text
Please enter the court case number for this case.
Court Hearing Information
I don't know Checkbox
Check this box if you do not know whether there is a court hearing or court date.
No Checkbox
Check this box if there is no court hearing or court date.
Yes Checkbox
Check this box if there is a court hearing and you will provide the court date.
Court Hearing Date Date
Enter the date of the court hearing.
Court Papers Information
Type of Court Papers Text
Enter the specific type of court papers being given to the sheriff for service.
List of Forms and Court Papers Text
Provide a comprehensive list of all forms or court papers that are intended to be served on the person, including form numbers or document titles if available.
Entity Details
Entity Name and Type Text
Enter the full legal name and the type of the entity (e.g., business, government agency) that needs to be served.
Entity Telephone Number (Optional) Text
Provide the telephone number of the entity that needs to be served.
Specific Person to Be Served (Name) Text
Enter the full name of a specific person within the entity who should be served, if applicable.
Agent for Service of Process (Name) Text
Enter the full name of the agent designated for service of process for the entity, if applicable.
Entity Safety or Accessibility Issues
Entity Safety or Accessibility Issues Text
Enter any safety or accessibility issues related to the entity, including examples like weapons, aggressive animals, or language barriers.
Gender
Male Checkbox
Check this box if the person's gender is Male.
Female Checkbox
Check this box if the person's gender is Female.
Nonbinary Checkbox
Check this box if the person's gender is Nonbinary.
General
Print Button
Save Button
Clear Button
Incarceration Information
In Jail or Prison Checkbox
Check this box if the person to be served is currently in jail or prison.
Incarceration Facility Name Text
Enter the name of the correctional facility where the person is incarcerated.
Lawyer's Information
Lawyer's Name Text
Enter the full name of the lawyer representing you.
Lawyer's Firm Name Text
Enter the name of the law firm associated with the lawyer.
Mailing Address
Mailing Address Line 1 Text
Please provide the first line of the mailing address where you wish to receive mail.
Mailing City Text
Please provide the city for the mailing address.
Mailing State Text
Please provide the state for the mailing address.
Mailing Zip Code Text
Please provide the zip code for the mailing address.
Optional Contact Information
Optional Telephone Number Text
Enter the optional telephone number for contact.
Optional Email Address Text
Enter the optional email address for contact.
Other Information for Sheriff
No Checkbox
Check this box if you do not have any other information to give to the sheriff for serving your court papers.
Yes Checkbox
Check this box if you have other information to provide to the sheriff for serving your court papers.
Other Information for Sheriff Text
Provide any additional information or instructions you want to give the sheriff regarding the service of your court papers.
Page 5
Court Case Number Text
Enter the court case number for this document.
Party Requesting Service
Party Requesting Service Name Text
Enter the full name of the party requesting service.
Person Description Availability
No Person Description Checkbox
Check this box if you do not have any information about the person's description.
Yes Person Description Checkbox
Check this box if you have information about the person's description and will complete the section below.
Person Identification
Name of person Text
Person Aliases Text
Enter any nicknames or aliases known for the identified person.
Person Telephone Number Text
Enter the telephone number of the identified person.
Physical Description
Height Number
Provide the height of the person.
Weight Number
Provide the weight of the person.
Hair Color Text
Provide the hair color of the person.
Eye Color Text
Provide the eye color of the person.
Safety and Accessibility Issues Confirmation
No Safety or Accessibility Issues Checkbox
Check this box if you do not know of any safety or accessibility issues related to the person.
Yes, Safety or Accessibility Issues Checkbox
Check this box if you know of any safety or accessibility issues related to the person and will provide further information in the section below.
Safety and Accessibility Issues Details
Has a gun or other weapon Checkbox
Check this box if the person has a gun or other weapon.
Is on probation or parole Checkbox
Check this box if the person is currently on probation or parole.
Has a history of violence or abuse Checkbox
Check this box if the person has a history of violence or abuse.
Has an aggressive animal Checkbox
Check this box if the person has an aggressive animal.
Has special training Checkbox
Check this box if the person has special training, such as military or first responder training.
Has mental health issues Checkbox
Check this box if the person has mental health issues.
Is deaf or hard of hearing Checkbox
Check this box if the person is deaf or hard of hearing.
Does not speak English Checkbox
Check this box if the person does not speak English.
Safety and Accessibility Issue Language Text
Provide the language spoken if the person does not speak English.
Add any other information about safety or accessibility that you know about CheckBox
Additional Safety and Accessibility Details Text
Provide any additional information about safety or accessibility issues related to the person.
Service Address
Service Street Address Text
Enter the street address where the person or entity should be served.
Service Address - Home Checkbox
Check this box if the address provided for service is a residential home.
Service Address - Business Checkbox
Check this box if the address provided for service is a business location.
Service City Text
Enter the city for the service address.
Service State Text
Enter the state for the service address.
Service Zip Code Text
Enter the zip code for the service address.
Service Gate Code or Special Instructions Text
Provide any gate codes or special instructions needed for serving at this address.
Best Service Time Text
Provide the best time of day to attempt service at this address, such as '8 a.m.-noon'.
Service Deadline Information
Service Deadline - I don't know Checkbox
Check this box if you do not know whether there is a deadline for service.
Service Deadline - No Checkbox
Check this box if there is no deadline for service.
Service Deadline - Yes Checkbox
Check this box if there is a deadline for service and you will provide the specific deadline.
Service Deadline Date Date
Enter the date of the service deadline.
Service Recipient Type
Serve a Person Checkbox
Check this box if you are asking the sheriff to serve a specific person.
Serve an Entity Checkbox
Check this box if you are asking the sheriff to serve an entity such as a business or government agency.
Sheriff File Number
Sheriff File Number Text
Enter the file number assigned by the sheriff for this case.
Sheriff's Role
Sheriff to Serve and Levy Checkbox
Check this box if you want the sheriff to both serve your court papers and act as the levying officer.
Sheriff Only as Levying Officer Checkbox
Check this box if you only want the sheriff to act as the levying officer, and a registered process server has or will serve your papers.
Signature Details
Signature Date Date
Enter the date the signature is provided.
Printed Name Text
Enter the name of the person signing the document.
Substituted Service Authorization
Substituted Service: I don't know Checkbox
Check this box if you do not know if the court has allowed you to serve court papers using substituted service.
Substituted Service: No Checkbox
Check this box if the court has not allowed you to serve court papers using substituted service.
Substituted Service: Yes Checkbox
Check this box if the court has allowed you to serve court papers using substituted service, and include a copy of the order.