CIVIL PROCESS REQUEST
Request for Issuance of Service
CASE NUMBER: CURRENT COURT:
Name(s) of Documents to be served:
FILE DATE: ______________________ Month/Day/Year
SERVICE TO BE ISSUED ON (Please List Exactly As The Name Appears In The Pleading To Be Served):
Issue Service to:
Address of Service:
City, State & Zip:__________________________________________________________________________
Agent (if applicable) ________________________________________________________________________
TYPE OF SERVICE/PROCESS TO BE ISSUED: (Check the proper Box)
Citation Citation by Posting Citation by Publication Citations Rule 106 Service Citation Scire Facias Newspaper______________
Temporary Restraining Order Precept Notice Protective Order
Secretary of State Citation ($12.00) Capias (not by E-Issuance) Attachment (not by E-Issuance) Certiorari Highway Commission ($12.00)
Commissioner of Insurance ($12.00) Hague Convention ($16.00) Garnishment Habeas Corpus (not by E-Issuance) Injunction Sequestration
Subpoena
Other (Please Describe) ___________________________________
(See additional Forms for Post Judgment Service)
SERVICE BY (check one):
ATTORNEY PICK-UP (phone) __________________ E-Issuance by District Clerk
MAIL to attorney at: ___________________ (No Service Copy Fees Charged)
CONSTABLE Note: The email registered with must be
CERTIFIED MAIL by District Clerk used to retrieve the E-Issuance Service Documents.
Visit for more instructions.
CIVIL PROCESS SERVER - Authorized Person to Pick-up: Phone:
OTHER, explain
Issuance of Service Requested By: Attorney/Party Name: ___________________Bar # or ID
Mailing Address:______________________________________
Phone Number:__________________________________________
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