This form contains 95 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Court and Case Identification
Sheriff File Number Text
Enter the sheriff's file or internal case number for this request, if the sheriff's office has assigned one.
Court Case Number Text
Enter the official court case number for the legal matter associated with this request.
Court Case Name Text
Enter the full case caption or name (for example, 'Garcia v. Smith') exactly as it appears on court documents.
Court Case Number
Court Case Number Text
Enter the official court case number for this matter exactly as it appears on court documents (include letters, dashes, and leading zeros if present).
Entity - Service Info
I ask the sheriff to serve an entity (examples: business or government agency) Checkbox
Check this box when you are requesting the sheriff to serve a business, government agency, or other organization (rather than an individual person).
Entity name and type Text
Enter the full name of the entity and its type (for example, business, government agency, nonprofit) so the server knows exactly who or what should be served. Fill only if 'I ask the sheriff to serve an entity (examples: business or government agency)' is 'Yes'.
Depends on: I ask the sheriff to serve an entity (examples: business or government agency)
Entity telephone number (optional) Text
Enter the entity's telephone number with area code if available; leave blank if you do not have a number. Fill only if 'I ask the sheriff to serve an entity (examples: business or government agency)' is 'Yes'.
Depends on: I ask the sheriff to serve an entity (examples: business or government agency)
Specific person to be served — name Text
If a particular person at the entity should be served, enter that person's full name; otherwise leave this field blank. Fill only if 'I ask the sheriff to serve an entity (examples: business or government agency)' is 'Yes'.
Depends on: I ask the sheriff to serve an entity (examples: business or government agency)
Agent for service of process — name Text
If the entity has a designated agent for service of process, enter the agent's full name here. Fill only if 'I ask the sheriff to serve an entity (examples: business or government agency)' is 'Yes'.
Depends on: I ask the sheriff to serve an entity (examples: business or government agency)
Safety or accessibility issues Text
List any known safety or accessibility concerns related to serving the entity or person (for example: weapons, aggressive animals, language barrier, mobility or other access issues). Fill only if 'I ask the sheriff to serve an entity (examples: business or government agency)' is 'Yes'.
Depends on: I ask the sheriff to serve an entity (examples: business or government agency)
General
Court Case Number Text
Address Text
Home CheckBox
Business CheckBox
City Text
State Text
Zip Text
Gate code or special instructions Text
Best time to serve at this address (example: 8 a.m.–noon) Text
Check here if the person is in jail or prison CheckBox
(give name of facility) Text
Address Text
Home CheckBox
Business CheckBox
City Text
State Text
Zip Text
Gate code or special instructions Text
Best time to serve at this address (example: 8 a.m.–noon) Text
What type of court papers are you giving the sheriff to serve (examples: summons, restraining order, eviction, small claims, bank levy, or writ of attachment) Text
List all forms or court papers you want served on the person in 3 a. (optional). (Note: You can list each form by its form number (example: FL-100, SC-100). If there is no form number, give the title of the document. The court may have ordered you to serve certain papers. Look at the court’s order and list all forms required. If you do not know which papers you need to serve, ask a lawyer, or contact your local self-help center for free information.) Text
I don’t know CheckBox
No CheckBox
Yes CheckBox
(if yes, give date of hearing) Text
Court Case Number Text
I don’t know CheckBox
No CheckBox
Yes CheckBox
(if yes, give deadline) Text
I don’t know CheckBox
No CheckBox
Yes (if yes, include a copy of the order allowing another type of service) CheckBox
No CheckBox
Yes CheckBox
(if yes, give information below) Text
Yes CheckBox
No. I only want the sheriff to act as levying officer. A registered process server has or will serve my papers CheckBox
Date Text
Type or print your name Text
Print Button
Save Button
Clear Button
Court Case Number Text
Person - Basic Info
I ask the sheriff to serve a person Checkbox
Check this box when you are requesting that the sheriff serve a person (complete the section below with the person's name and any aliases).
Person's Full Name Text
Enter the full legal name of the person to be served, including first, middle, and last name as applicable. Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Nicknames or Aliases Text
Provide any nicknames, aliases, maiden names, or other names the person is known by (leave blank if none). Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Telephone Number (optional) Text
Enter the person's telephone number if known, including area code and any extension (leave blank if unknown). Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Person - Description
No — I do not have any information about the person's description Checkbox
Check this box if you have no information about the person's physical description. Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Yes — I have information about the person's description (complete the section below) Checkbox
Check this box if you have descriptive information about the person and will complete the section below with those details. Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Gender: Male Checkbox
Check this box if the person to be served is male. Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Gender: Female Checkbox
Check this box if the person to be served is female. Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Gender: Nonbinary Checkbox
Check this box if the person to be served identifies as nonbinary. Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Height Text
Enter the person’s height including units if known (for example "5 ft 8 in" or "172 cm"). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Weight Text
Enter the person’s weight including units if known (for example "160 lb" or "72 kg"). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Hair color Text
Enter the person’s hair color or a brief hair description (for example "brown", "blonde", "graying with balding"). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Eye color Text
Enter the person’s eye color or a short description (for example "blue" or "brown"). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Date of birth or age Text
Provide the person’s date of birth or their age if the date is unknown; give an estimate if necessary (for example "8/14/1980" or "about 45"). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Race/Ethnicity Text
Enter the person’s race and/or ethnicity (for example "Hispanic", "White", "Black/African American", "Asian", or a combined description). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Special marks or features Text
Describe any identifying marks, tattoos, scars, birthmarks, or other distinguishing features and their locations. Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Vehicle details Text
Provide vehicle information including type, make and model, year, color, and license plate number (for example "2010 Toyota Camry, silver, plate ABC123"). Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Check here if you are including a picture of the person Checkbox
Check this box if you are attaching or including a photograph of the person with this form. Fill only if 'Yes — I have information about the person's description (complete the section below)' is 'Yes'.
Depends on: Yes — I have information about the person's description (complete the section below)
Person - Safety and Accessibility
No Checkbox
Check this box if you do not know of any safety or accessibility issues related to the person. Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Yes (complete the section below) Checkbox
Check this box if you do know of one or more safety or accessibility issues and will provide details in the section below. Fill only if 'I ask the sheriff to serve a person' is 'Yes'.
Depends on: I ask the sheriff to serve a person
Has a gun or other weapon Checkbox
Check this box if the person has a gun or any other weapon. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Is on probation or parole Checkbox
Check this box if the person is currently on probation or parole. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Has a history of violence or abuse Checkbox
Check this box if the person has a known history of violence or abuse. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Has an aggressive animal Checkbox
Check this box if the person has an aggressive animal that could present a safety risk. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Has special training (military, first responder, etc.) Checkbox
Check this box if the person has special training (for example, military or first responder) that may affect how they respond in confrontational situations. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Has mental health issues Checkbox
Check this box if the person has known mental health issues that could affect safety or accessibility. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Is deaf or hard of hearing Checkbox
Check this box if the person is deaf or hard of hearing. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Does not speak English (list language) Checkbox
Check this box if the person does not speak English and list the language(s) in the space provided. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Does not speak English — Language Text
Enter the language(s) the person does not speak or is limited in (for example, 'Spanish' or 'Limited English — Mandarin'). Fill only if 'Does not speak English (list language)' is 'Yes'.
Depends on: Does not speak English (list language)
Add other safety or accessibility information Checkbox
Check this box if you are providing other safety or accessibility information not covered by the boxes above and then supply the details in the space below. Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Additional safety or accessibility information Text
Provide any other details about the person's safety risks or accessibility needs that the server should know (for example, behavioral concerns, mobility limitations, medical conditions, or other relevant notes). Fill only if 'Yes (complete the section below)' is 'Yes'.
Depends on: Yes (complete the section below)
Requester Contact Information
Requester name Text
Enter the full name of the person or party requesting service (the party requesting the sheriff to serve papers).
Mailing address Text
Enter an address where you can receive mail regularly (for example, a street address, post office box, or Safe at Home address); if you have a lawyer, provide the lawyer’s mailing address.
City Text
Enter the city for the mailing address where the sheriff or marshal can reach you. Fill only if 'Mailing address' Fill only if 8 is filled.
Depends on: Mailing address
State Text
Enter the state for the mailing address where the sheriff or marshal can reach you. Fill only if 'Mailing address' Fill only if 8 is filled.
Depends on: Mailing address
ZIP code Text
Enter the ZIP code for the mailing address where the sheriff or marshal can reach you. Fill only if 'Mailing address' Fill only if 8 is filled.
Depends on: Mailing address
Telephone number (optional) Text
Provide a phone number where the sheriff or marshal can contact you, if you choose to give one.
Email address (optional) Text
Provide an email address where the sheriff or marshal can contact you, if you choose to give one.
Target County (Sheriff or Marshal)
County to serve (name of county) Text
Enter the full name of the county where the sheriff or marshal should attempt service of the court papers.
Your Lawyer Information
Lawyer's name Text
Enter the full name of your lawyer or attorney representing you for this matter (leave blank if you do not have a lawyer). Fill only if 'Requester name' Fill only if 4 is 'Yes'.
Depends on: Requester name
Law firm name Text
Enter the name of the law firm or legal practice your lawyer is associated with, if applicable. Fill only if 'Requester name' Fill only if 4 is 'Yes'.
Depends on: Requester name