Fill and Sign the Windsor Family Divisionvermont Judiciary Form

Vermont Superior Court Windsor Family Division, 82 Railroad Row, White River Jct., VT 05001 Phone Number Docket Number: Plaintiff Defendant v. ACCEPTANCE OF SERVICE I hereby accept service of the: ☐ Summons and Complaint for: ☐ Divorce ☐ Legal Separation ☐ Parentage ☐ Annulment ☐ Civil Union Dissolution ☐ Parentage Affidavit ☐ Military Affidavit ☐ Affidavit of Child Custody ☐ Pro Se Appearance by ☐ Plaintiff ☐ Defendant ☐ Completed Form 813 by ☐ Plaintiff ☐ Defendant ☐ Blank 813 ☐ Blank Answer/Counter Claim/Notice of Appearance ☐ Blank Motion Response form ☐ Notice of Attorney Appearance ☐ Affidavit to Support Filing ☐ Affidavit of Non-Compliance ☐ Public Defender Application ☐ Hearing Cancellation Notice ☐ Notice of Hearing ☐Information Sheet ☐ Vermont Department of Health Form ☐ Other: ORDER(S): MOTION(S): ☐ Child Support ☐ Amended ☐ Interim ☐ Temp ☐ Final ☐ Proposed ☐ PRR/PCC ☐ Amended ☐ Interim ☐ Temp ☐ Final ☐ Proposed ☐ Parentage ☐ Entry Order Re: MPR # ☐ Scheduling Order ☐ Interim Domestic Order ☐ Order to Attend Pro Se Education ☐ Order to Attend COPE Education Program ☐ QDRO (Qualified Domestic Relations Order) ☐ Genetic Testing ☐ Final Order: Divorce, Parentage, Dissolution, Legal Separation, etc. ☐ Other: ☐ Enforce ☐ Child Support ☐ Final Order ☐ PRR ☐ PCC ☐ Spousal Maintenance ☐ Modify ☐ Child Support ☐ PRR ☐ PCC ☐ Spousal Maintenance ☐ Request for License Suspension ☐ Contempt ☐ Child Support ☐ Other ☐ To Show Cause – Civil Contempt ☐ Vacate Order ☐ Dismiss ☐ For Emergency Relief ☐ Other: I waive all other forms of service. ____________________________ Date ___________________________________ Plaintiff/Defendant Signature ☐ Plaintiff ☐ Defendant PLEASE DATE AND SIGN THIS ACCEPTANCE OF SERVICE AND RETURN TO THE COURT. THE OTHER DOCUMENTS ARE FOR YOUR RECORDS. 400-00844 – Acceptance of Service (05/2019) Page 1 of 1