Affirmation of (Personal)(Mail) Service 01/24
FAMILY COURT RETURN DATE:
STATE OF NEW YORK PART
COUNTY OF : DOCKET NO.
I, affirm and state the following:
(Name of Person Making Service)
YOU
MUST
Complete 1. That I am at least 18 years of age and not a party to the above action, and reside at
This
Section
(Street) (City) (County)
2. On the day of , 20 , at
(Specify time)
At in the City of , County of ,
State of New York, I personally served a copy of
Check All Order Petition Summons Order to Show Cause
that Apply Objections to support Magistrate Final Order Notice to Motion/Affidavit in Support
Rebuttal to Objections to Support Magistrate Final Order UCCJEA Notice
On , in the above-mentioned action by:
3. I personally served copies of the said papers by
(Name of Person Served)
If Papers delivering and leaving with at said time and place.
SERVED
IN 4. I knew the person so served to be
PERSON (Name to whom papers given)
Complete a. The person named in said papers as the (respondent/petitioner in this action
This Section b. I believe this person would give the papers to the Respondent/Petitioner. (You must
also mail a copy and complete #6)
5. DESCRIPTION OF PERSON SERVED:
Sex: : color of skin: : Hair: : approx. age: approx. ht:
: approx. wt. : other identifying features:
6. Depositing a true copy of said papers upon
(Name of Person Served)
Complete enclosed in a post-paid wrapper in the
IF MAIL Post Office a Branch Post Office a Post Office Box
SERVICE Regularly maintained by the United States government at
ORDERED County of , State of New York,
BY COURT Directed to
or 4b is (Address papers mailed to )
CHECKED The residence of said
OR
The address within the States designated by (him)(her) to receive communication by mail.
YOU I affirm on the ______ day of _____________, 20___, under the penalties of perjury under the laws of New York,
MUST which may include a fine or imprisonment, that the above statements are true, and I understand that this document
Complete may be filed in an action or proceeding in a court of law.
This
Section _______________________________________________
Signature of Person Serving Papers
INSTRUCTIONS FOR SERVICE OF
COURT PAPERS
You have been given a summons or an Order to Show Cause, a blank
Affirmation of Service, and a copy of the Petition, which directs the other
party in this case to appear in this Court on the date indicated.
1. The papers MAY NOT be served on SUNDAY unless the petition contains a request for
an Order of Protection.
2. As a party in this case, YOU MAY NOT serve papers to the other person.
3. The person who has delivered the papers MUST COMPLETE THE
“AFFIRMATION OF SERVICE”. Be sure that a full physical description
of the person to whom the summons and Petition were given is included on
the affirmation of service OR the person who has served the court papers
may come to Court with you on the adjourn date.
4. Bring the completed Affirmation of Service to Court with you on the return
date or return the completed Affirmation of Service to the Court prior to the
return date either by USPS Mail or E-mail to the Court (E-mail Address found
on the Summons) or uploading to EDDS
(https://iappscontent.courts.state.ny.us/NYSCEF/live/edds.htm). Please name
the document Affirmation of Service.
Custody/Visitation/Guardianship Cases - Case numbers that begin with the letter V or G
The Order to Show Cause and Petition must be served upon the Other Party by
the date and manner indicated in the Order to Show Cause by any person at
least 18 years of age, who is not a party to the action. The Summons and
Petition must be served upon the Other Party by any person at least 18 years of
age, who is not a party to the action at least 8 days before the Court date.
NYCFC JAN 2024
