Fill and Sign the State of Rhode Island and Providence Plantations Family Court Form

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS FAMILY COURT SUMMONSFOR: (CHECK ONE) COMPLAINT FOR DIVORCE COMPLAINT FROM BED & BOARD County THIS FORM MUST BE PRESENTED IN DUPLICATE FOR Civil Action - File No. PROCESSING COMPLAINT, MOTION AND ORDERS ATTACHED Plaintiff Plaintiff’s Attorney (Name, Address, Zip and Phone No.) vs Defendant TO THE ABOVE NAMED DEFENDANT: You are hereby summoned to answer the attached Complaint. Under the Rhode Island Rules of Domestic Relations Proce dure, your answer must be in writing and filed with the Court within 20 days after the day you received this Summons, not including the day of receipt. A copy of your a nswer should also be forwarded to the plaintiff’s attorney. Failure to answer may result in a judgment by default against you for the relie f requested in the Complaint. Under the rules of procedure your answer must state as a counterclaim any related claim you may have against the pla intiff. Failure to do so may prohibit you from making such a claim in any other action. TIME, DATE AND PLACE OF HEARING Family Court Address: Motion Date: Time: Nominal Date: Time: Case Management Conference Date: Time: NOTICE OF AUTOMATIC ORDERS ATTACHED MOTION APPLICABLE IF CHECKED You are also notified that a hearing on the attached motion will be held at the time, date, and plac e shown above. Court orders may be entered as a result of that hearing that may affect your person or property. 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 Parte Order. Date Issued Clerk SEAL OF THE FAMILY COURT File Mark DR41 (REV 7/00)-K AMERICANS WITH DISABILITIES ACT SEE REVERSE SIDE FOR ACCOMMODATION FOR A DISABILITY 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 DATE SHERIFF DEPUTY SIGNATURE SHERIFF DEPUTY PRINT NAME For service by a Constable or other person DATE CONSTABLE OR OTHER PERSON SIGNATURE CONSTABLE OR OTHER PERSON PRINT NAME Signature of Constable or other person must be notarized PRINT NAME CONSTABLE I OTHER PERSON swear that I made service as checked off above. DATE PLACE NOTARY PUBLIC SIGNATURE 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.