APPENDIX C — CAPTION AND CERTIFICATION FORMS

Section C-10. Proof of original or alternative service

Cite asRid. R. Sup. Ct. app. C-10Official text at page 50

PROOF OF SERVICE
Case: [CAPTION AND NUMBER]
Document served: [TITLE AND BATES NUMBER, IF ASSIGNED]
For each recipient:
1. Recipient and represented party: [________]
2. Verified account, office, or service destination: [________]
3. Method: [PERSONAL DELIVERY / ACKNOWLEDGED COURT ACCOUNT /
MARSHAL OR SHERIFF / COURT-ORDERED ALTERNATIVE]
4. Date and UTC time: [________]
5. Acknowledgment, return, or attached proof: [________]
6. Failed attempts: [________ / NONE]
I declare under penalty of perjury under Ridgeway law that this proof
is true and complete.
/s/ [SERVER]
[NAME, USERNAME, IMMUTABLE USER ID, AND AUTHORITY]

File this form under PROOF_OF_SERVICE.