Fill and Sign the Forms Rhode Island

Page 1 of 2 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS FAMILY COURTSUMMONS FOR: (CHECK ONE) RELIEF AFTER FINAL JUDGMENT OTHER RELIEF County THIS FORM MUST BE PRESENTED IN DUPLICATE FOR PROCESSING COMPLAINT, MOTION AND ORDERS ATTACHED Civil Action – File No. Plaintiff vs. Defendant Issuing Attorney (Name, Address, Zip, and Phone No.) TO: (NAME) ADDRESS: You are hereby summoned to appear before the Family Court on the appearance date set forth below to answer to the attached Complaint or Motion. If you fail to appear, Court Orders may be entered against you for the Relief Demanded in the attached Complaint or Motion. TIME, DATE AND PLACE OF HEARING Family Court Address: Date: Time: NOTICE OF AUTOMATIC ORDERS ATTACHED EX PARTE ORDER APPLICABLE IF CHECKED You are also notified that the court has already issued orders pending the hearing as set forth in the attached Ex Part e Order. Date Issued : Clerk : SEAL OF THE FAMILY COURT FILE MARK Page 2 of 2 PROOF OF SERVICE On the date below I served a copy of the Document and Attachments if any, as follows: Personally to (NAME-PRINT) _______________________________ Personally at (ADDRESS-PRINT) ___________________________ Alternate Service (DESCRIBE) ________________________________________________________ _____________________________________________________________________________________________ For service by the Sheriff/Deputy Sheriff SHERIFF DEPUTY SIGNATURE DATE SHERIFF DEPUTY PRINT NAME For service by a Constable or other person CONSTABLE OR OTHER PERSON SIGNATURE DATE CONSTABLE OR OTHER PERSON PRINT NAME Signature of Constable or other person must be notarized PRINT NAME CONSTABLE OTHER PERSON I swear that I made service as checked off above. NOTARY PUBLIC SIGNATURE DATE PLACE NOTARY PUBLIC PRINT NAME If accommodation for a disability is necessary, please contact the Domestic Clerk's Office at (401) 458-3200(v), (401) 458-5275 (tty) or through Relay Rhode Island at 1-800-745-5555 (tty) as soon as possible.