Fill and Sign the Superior Court of Washington for Snohomish County No Form

RETURN OF SERVICE (HARASSMENT) (RTS) – Page 1 of 2 UH-04.0110 (6/2002) - RCW 10.14.011(4) COURT OF WASHINGTON FOR Petitioner vs. Respondent NO. RETURN OF SERVICE - HARASSMENT (RTS) 1. My name is . I am a peace officer 18 years of age or older and not the petitioner. 2. I was unable to make personal service on the respondent. I have notified the petitioner that respondent was not served. Personal service was attempted on the following date(s): . No service was attempted because ________________________________________________ ___________________________________________________________________________. 3. I served with the following documents: (name of person served) Temporary Order for Protection/Notice of Hearing Petition for an Order for Protection Reissuance of Temporary Order for Protection and Notice of Hearing Order for Protection - Harassment Motion to Modify/Terminate Order for Protection Other: RETURN OF SERVICE (HARASSMENT) (RTS) – Page 2 of 2 UH-04.0110 (6/2002) - RCW 10.14.011(4) 4. I served these documents on ______________________ at __________________ at this address: (date) (time) _______________________________________________________________________________ _______________________________________________________________________________. 5. 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 Total Law Enforcement Agency