PROCESS SERVICE FORM
THIS IS THE INFORMATION WE WILL BE USING TO CREATE YOUR PROOF OF SERVICE / AFFIDAVIT
PLEASE BE ACCURATE !
ENTER 1) YOUR CONTACT INFO. 2) PROCESS SERVICE INFO. 3) CLICK - [SUBMIT]
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YOUR FIRM / COMPANY NAME (IF ANY):
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YOUR NAME:
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TELEPHONE NUMBER:
FAX NUMBER:
E-MAIL ADDRESS:
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STREET ADDRESS + SUITE / APT. / UNIT #:
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CITY:
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STATE:
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ZIP:
PLEASE ENTER THE PROCESS SERVICE INFORMATION BELOW
*After service is complete, we can file the Proof Of Service for you at any "Los Angeles County Branch Court" for an add $35,
/or/ we mail the Proof Of Service/Affidavit back to you, for you to file ) ( P.O.S. = Proof Of Service )
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Service Level (Pick One):
ROUTINE 3-5 days ($65.00)
RUSH 48hrs ($95.00)
PRIORITY 24hrs ($125.00)
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File P.O.S. with L.A. County Court ?:
NO, Mail P.O.S. to me, I will File
YES, File P.O.S. for me + $35
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(Los Angeles County Courts Only)
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Notarized P.O.S. / Affidavit Required ?
NO, I Just need a Standard P.O.S.
YES, I Need A Notarized Affidavit + $10
NOT SURE? ( call us 1-800-799-5142 )
CASE NUMBER:
COURT NAME:
PLAINTIFF (S):
DEFENDANT (S):
HEARING DATE (01/01/2007):
HEARING TIME:
HEARING DEPARTMENT / ROOM #:
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NAME OF INDIVIDUAL / COMPANY TO BE SERVED:
( IF SERVING A COMPANY ) NAME OF AGENT FOR SERVICE:
(HOME) STREET ADDRESS + SUITE / APT. / UNIT #:
CITY:
STATE:
ZIP:
( BUSINESS ) STREET ADDRESS + SUITE / APT. / UNIT #:
CITY:
STATE:
ZIP:
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LIST ALL DOCUMENTS TO BE SERVED:
LIST ANY SPECIAL INSTRUCTION / PHYSICAL DESCRIPTIONS:
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HOW WILL YOU BE SENDING US THE DOCUMENTS TO BE SERVED ? PICK ONE:
FAX: 818-776-8139
EMAIL: psa@psasocal.com
USPS/FED-EX/UPS-Mail Service Docs to: 24827 San Fernando Rd. #207, Santa Clarita, CA. 91321______________
Process Service Associates
24827 San Fernando Rd. #207, Santa Clarita, CA. 91321
http://www.psasocal.com - http://www.ct-corp.net - psa@psasocal.com
661-799-0231 | fax 818-776-8139
PLEASE REMEMBER TO CLICK THE SUBMIT BUTTON (BELOW) WHEN FINISHED
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Indicates Response Required