Fill and Sign the Motion for Contempt Domestic Relations Order Dc Courts Form

D.C. Bar Pro Bono Center (revised 02/2019) Affidavit of Service by Individual - Page 1 of 3 SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch ____________________________________ PRINT PLAINTIFF ’S NAME P LAINTIFF, v. ____________________________________ PRINT DEFENDANT ’S NAME DEFENDANT. __________ DRB __________ J UDGE: __________________ AF FIDAVIT OF SERVICE BY INDIVIDUAL I , ________________________, am ________ years old and not a party to this case. PRINT YOUR NAME AGE I  liv e/ work at _____________________________, ______________________, _____ _________ STREET ADDRESS CITY STATE ZIP CODE 1. I certify that I served copies of the following paper(s) in this case:  The s ummons  The following orders: ___________________________________  The complaint  Other: _______________________________________________  A Notice of Motion  Other: _______________________________________________ 2. On ___________ at _________ I served cop ies of the paper (s) in the following way(s): DATE TIME  I delivered them personally to __________________________________ who is :  THE PLAINTIFF NAME OF THE SERVED PARTY  THE DEFENDANT  AN INTERVENOR The place I served them was : ________________________________________________________. ADDRESS OR DESCRIPTION OF PLACE WHERE PAPERS WERE SERVED I served a copy of the papers  by handing them directly to the party , OR  ______________________________________________________. DESCRIPTION OF OTHER METHO D D.C . Bar Pro Bono Center (revised 02/2019) Affidavit of Service by Individual - Page 2 of 3  I left them with a person of suitable age and discretion who lived with the other party at: _______________________________________________________________________.\ ADDRESS OR DESCRIPTION OF PLACE WHERE PAPERS WERE SERVED This place is the other party’s  TEMPORARY RESIDENCE .  PERMANEN T RESIDENCE .  OTHER : _________________________________. SPECIFY OTHER TYPE OF RESIDENCE I st ate the following about the person I gave the copies to ( PROVIDE AS MANY DETAI LS AS POSSIBLE ): Th eir name i s : ________________________ ____________________________________. Their approximate age is: _______________. Their relationship to the other party is:  Spouse/partner  Family member (specify) : _____________________  Room mate  Other: _____________________________________ Here are more details about how I served the them ( EXPLAIN MORE ABOUT HO W , WHERE , WHEN YOU SERVED THE M ): _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 3.The following details support my statements above ( EXPLAIN MORE ABOUT HOW , WHERE , OR WHEN SERVICE WAS MADE ): ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ D.C. Bar Pro Bono Center (revised 02/2019) Affidavit of Service by Individual - Page 3 of 3 I declare under penalty of perjury that the foregoing is true and correct. If this document is to be signed outside the geographic boundaries of the United States, Puerto Rico, the United States Virgin Islands, and any territory or insular possession subject to the jurisdiction of the United States, additional requirements must be met prior to signing. See SCR - Dom. Rel. 2( c)(1)(B). ____________________________________ SIGN YOUR NAME ____________________________________ PRINT YOUR NAME ____________________________________ HOME ADDRESS 1 ____________________________________ HOME ADDRESS 2  S UBSTITUTE ADDRESS : CHECK THIS BOX IF YOU HAVE WRITTEN SOMEONE ELSE ’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM . ____________________________________ DATE ____________________________________ PHONE NUMBER ____________________________________ EMAIL ADDRESS