Fill and Sign the Ch 131 Form

CH-131, Page 1 of 1 Proof of Service by Mail (Civil Harassment) CH-131 Proof of Service by Mail Name of person asking for protection: Judicial Council of California, www.courtinfo.ca.gov Rev. January 1, 2005, Optional Form Code of Civil Procedure, §§ 527.6 and 527.9 Your name: The server must: Be over 18 years of age. Not be a party in the case. Mail a copy of all documents checked in to the person in . Complete and sign this form and give it to the person in . • • • Notice to Server Server's Information I am over 18 years of age and am a resident or employ ed in the county where the mailing took place. I mailed the person in a copy of all documents checked below: a. CH-110, Answer to Request for Orders to Stop Harassment I declare under penalty of perjury under the laws of the St ate of California that the information above is true and correct. b. Other (specify): I placed copies of the documents ch ecked above in a sealed envelope and mailed them as described below: a. Mailed from (City):_________________________________________ (State): ____________________ b. On (Date):________________________________________________ c. To this Address:______________________________________________________________________ City: ________________________________________State:_________________ Zip:_____________ Address:______________________________________________________________________________ City: ______________________________________________State:_______________ Zip:___________ Name:_______________________________________________________________________________ Telephone:__________________________ (If you are a registered process server): County of registration: _______________________________ Registration number:__________________ Date:_________________________ Case Number: Superior Court of California, County of Fill in court name and street address: Clerk stamps date here when form is filed. ` Type or print server's name Server to sign here • Be a resident or employed in the county where the mailing took place. Fill in case number: PROOF OF SERVICE BY MAIL 3 1 2 6 4 5 1 4 2 1