Fill and Sign the 2018 Form Ca Vl 125 Fill Online Printable Fillable

1. Form Adopted for Mandatory Use Judicial Council of California JV-510 [Rev. January 1, 2019]www.courts.ca.gov PROOF OF SERVICE—JUVENILE Page 1 of 2 Social worker Probation officer a. Name: d. b. Date of service: c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: 4. a.Name: d. b. c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: 3. a.Name: d. Method of service: b. Date of service: c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: 2. Mother Legal guardian a. Name: d. b. Date of service: c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: NAME: FIRM NAME: STREET ADDRESS:CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: E-MAIL ADDRESS: ATTORNEY FOR ( name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: PROOF OF SERVICE—JUVENILE FOR COURT USE ONLY CASE NUMBER: JV-510 I served a copy of the (name of document) on (hearing date, if applicable) on the following persons or entities by personally delivering a copy to the person served, OR by delivering a copy to a competent adult at the usual place of residence or business of the person served and thereafter mailing a copy by first-class mail to the person served at the place where the copy was delivered, OR by placing a copy in a sealed envelope and depositing the envelope directly in the U.S. mail with postage prepaid or at my place of business for same-day collection and mailing with the U.S. mail, following our ordinary business practices with which I am readily familiar, OR by delivering a copy by electronic means at the electronic service address indicated below: Method of service: Method of service: Method of service: Method of service: Method of service: Method of service: Method of service: Date of service: Father Legal guardian Father Mother Legal guardian Father Mother (SIGNATURE) JV-510 [Rev. January 1, 2019]Page 2 of 2 PROOF OF SERVICE—JUVENILE Date: JV-510 CASE NAME: CASE NUMBER: (TYPE OR PRINT NAME) 5. Child (if 10 years of age or older) a. Name: d. b. Date of service: c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: 6. Child (if 10 years of age or older) a. Name: d. b. Date of service: c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: 12. Indian custodian a. Name: d. b. Date of service: c. Mailing or electronic service address: Other (specify): a. Name: d. b. Date of service: c. Mailing or electronic service address: 10. Tribe/Bureau of Indian Affairs a. Name: d. b. Date of service: c. Mailing or electronic service address: Grandparent a. Name: d. b. Date of service: c. Mailing or electronic service address: 8. CASA volunteer a. Name: d. b. Date of service: c. Mailing or electronic service address: Child's caregiver/De facto parent a. Name: d. b. Date of service: c. Mailing or electronic service address: 7. Child's sibling a. Name: d. b. Date of service: c. Mailing or electronic service address: Attorney a. Name: d. b. Date of service: c. Mailing or electronic service address: At the time of service I was at least 18 years of age. If service was made in person or by mail, I am not a party to this matter. I am a resident of or employed in the county where the service occurred. My residence or business mailing address, or my electronic service address is (specify): 14. I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct. 9. 11. 13. Method of service: Method of service: Method of service: Method of service: Method of service: Method of service: Method of service: Method of service:Method of service: Method of service: Method of service:Method of service: Additional persons served are listed on form JV-510(A) Attachment to Proof of Service–Juvenile (Additional Persons Served) Print this form Save this form Clear this form For your protection and privacy, please press the Clear This Form button after you have printed the form.