Document Name:Return of Service (Optional Use)(RTS) Get a Copy in PDF Form Get a Copy in Word Form

Superior Court of Washington

County of

 

 

In re:

 

 

 

Petitioner,

and

 

 

Respondent.

 

 

No.  

 

Return of Service

(Optional Use)

(RTS)

 

I Declare:

 

1.         I am over the age of 18 years, and I am not a party to this action.

 

2.         I served the following documents to (name) _______________________________________:

 

            [ ]         summons, a copy of which is attached

            [ ]         petition in this action

            [ ]         proposed parenting plan or residential schedule

            [ ]         proposed child support order

            [ ]         proposed child support worksheets

            [ ]         sealed financial source documents cover sheet and financial documents

            [ ]         financial declaration

            [ ]         Notice Re:  Dependent of a Person in Military Service

            [ ]         notice of hearing for ___________________________________________

            [ ]         motion for temporary order

            [ ]         motion for and ex parte order

            [ ]         motion for and order to show cause re: _____________________________________

            [ ]         declarations of _______________________________________________________

            [ ]         temporary order

[ ]         other:

 

 

3.         The date, time and place of service were (if by mail refer to Paragraph 4 below):

 

            Date:                __________________________Time:  _______________________ a.m./p.m.

 

            Address:          _________________________________________________

 

                                    _________________________________________________

 

4.         Service was made:

 

            [ ]         by delivery to the person named in paragraph 2 above.

            [ ]         by delivery to (name) _______________________________________, a person of suitable age and discretion residing at the respondent’s usual abode.

            [ ]         by publication as provided in RCW 4.28.100.  (File Affidavit of Publication separately.)

            [ ]         (check this box only if there is a court order authorizing service by mail) by mailing two copies postage prepaid to the person named in the order entered by the court on
(date) _________________________.  One copy was mailed by ordinary first class mail, the other copy was sent by certified mail return receipt requested.  (Tape return receipt below.)  The copies were mailed on (date) ______________________________.

            [ ]         (check this box only if there is a statute  authorizing service by mail) by mailing a copy postage prepaid to the person requiring service by any form of mail requiring return receipt.  (Tape return receipt below.)  The copy was mailed on (date) _______________.

 

5.         Service of Notice on Dependent of a Person in Military Service.

 

            [ ]         The Notice to Dependent of Person in Military Service was [ ] served on [ ] mailed by first class mail on (date) _________________________________.

            [ ]         Other:

 

 

6.         Other:

 

 

I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.

 

Signed at (city) ________________________, (state) __________ on (date) ______________________.

 

                                                                                                                                                        

Signature                                                                      Print or Type Name

 

Fees:

Service                                                                        

Mileage                                                                       

Total                                                                           

(Tape Return Receipt here, if service was by mail.)

 

File the original Return of Service with the clerk.  Provide a copy to the law enforcement agency where protected person resides if the documents served include a restraining order signed by the court.

 
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