Fill and Sign the Instructions for Petition for Order of Form

Return of Service (RTS) – Page 1 of 2 WPF SA-4.020 (6/2006) – Laws of 2006, ch. 138 Court of Washington For __________________________________________ Petitioner (Protected Person) vs.__________________________________________ Respondent (Restrained Person) No. Return of Service (RTS) 1. My name is . I am a peace officer 18 years of age or older and not the petitioner or the respondent. 2. I served [name of person served] on ___________________________[date] at _______________[time] at this address: ________________________________________________________________________ with the following documents: Petition for Sexual Assault Protection Order Temporary Sexual Assault Protection Order and Notice of Hearing Reissuance of Temporary Sexual Assault Protection Order and Notice of Hearing Respondent’s Petition to Reopen Temporary Sexual Assault Protection Order Order on Respondent’s Petition to Reopen Temporary Sexual Assault Protection Order Sexual Assault Protection Order Motion to Modify/Terminate Sexual Assault Protection Order Order Modifying/Terminating Sexual Assault Protection Order Petition for Renewal of Sexual Assault Protection Order Order on Renewal of Sexual Assault Protection Order Other: . Return of Service (RTS) – Page 2 of 2 WPF SA-4.020 (6/2006) – Laws of 2006, ch. 138 3. I was unable to make personal service on the respondent. I have notified the petitioner that respondent was not served. I was unable to make personal service on the petitioner. I have notified the respondent that petitioner was not served. Personal service was attempted on the following date(s) . No service was attempted because . 4. Other: ______________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Dated : __________________________ at ________________________________, Washington. Fees: Service ______________ _________________________________________ Mileage ______________ Signature of Server _________________________________________ Print or Type Name Total ______________ _________________________________________ Law Enforcement Agency