Instructions to law enforcement: Do not serve this form with the other papers. You may keep this form for your records or destroy it. Instructions to the court: Do not file this form. Provide to law enforcement to help find and identify the party to be served. Service Assistance Form
This is a Private Record (CJA 4-202.02)
Case Number Court Address Information About You
Plaintiff/Petitioner Defendant/Respondent
Document to be Served
Information About the Party to be Served
Plaintiff/Petitioner Defendant/Respondent
Name Alias/Nickname Home address Home phone Best times to reach Work name & address Work phone Best times to reach Cell phone SSN DOB
Name Alias/Nickname Home address Home phone Best times to reach Work name & address Work phone Best times to reach Cell phone SSN Race Weight Hair color DOB Sex Height Eye color
Special characteristics (tattoos, scars, etc.) Driver's license number Vehicle license number Make Year
Model Color
If this person is on probation or parole, list the name of the agency, officer, and telephone number.
Has this person used weapons or been violent in the past? Yes No
Service Assistance Form Approved Board of District Court Judges May 21, 2008 Page 1 of 1