CARE-111 - Proof of Personal Service of Notice of Initial Appearance—CARE Act Proceedings

Summary

Proof of Personal Service of Notice of Initial Appearance—CARE Act Proceedings

Text

Form ID: CARE-111
Title: Proof of Personal Service of Notice of Initial Appearance—CARE Act Proceedings
Effective Date: 2026-01-01
Mandatory Form: no
Languages: 汉语, فارسی, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CARE-111
Primary Download URL: https://www.courts.ca.gov/documents/care111.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/care111c.pdf, https://www.courts.ca.gov/documents/care111f.pdf, https://www.courts.ca.gov/documents/care111k.pdf, https://www.courts.ca.gov/documents/care111s.pdf, https://www.courts.ca.gov/documents/care111v.pdf
Form Detail Page:
Proof of Personal Service of Notice of Initial Appearance—CARE Act Proceedings
(CARE-111)
Tells the court that the Notice of Initial Appearance—CARE Act Proceedings (form CARE-110) has been delivered (served) in person to the respondent.
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Effective: January 1, 2026
PDF Text:
CONFIDENTIAL
For your protection and privacy, please press the Clear 
button after you have printed the form.
Judicial Council of California, courts.ca.gov 
Rev. January 1, 2026, Optional Form 
Welf. & Inst. Code, § 5977
Proof of Personal Service of 
Notice of Initial Appearance—CARE Act Proceedings
CARE-111, Page 1 of 1
CARE-111
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
BRANCH NAME:
CITY AND ZIP CODE:
CARE ACT PROCEEDINGS FOR (name):
RESPONDENT
FOR COURT USE ONLY
PROOF OF PERSONAL SERVICE OF 
NOTICE OF INITIAL APPEARANCE—CARE ACT PROCEEDINGS
CASE NUMBER:
1. I am at least 18 years old and not a party to this action.
2. I served Notice of Initial Appearance—CARE ACT Proceedings (form CARE-110) by personally delivering a copy as follows:
a. Respondent (name):
b. Address (specify location):
c. On (date): at (time):
3. I personally delivered with Notice of Initial Appearance—CARE Act Proceedings a copy of the petition filed to begin these 
proceedings, Notice of Respondent's Rights—CARE Act Proceedings  (form CARE-113), and Information for Respondents—
About the CARE Act (form CARE-060-INFO),
and the report ordered under Welfare and Institutions Code section 5977(a)(3).
4. My name, address, telephone number, and, if applicable, county of registration and number, are (specify):
5. I am (check all that apply):
a. not a registered California process server.
b. a registered California process server.
c. a California sheriff or marshal.
d. an employee or independent contractor of a registered California process server.
e. exempt from registration. (Bus. & Prof. Code, § 22350(b).)
6. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
7. I am a California sheriff or marshal, and I certify the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME OF DECLARANT)
 (SIGNATURE OF DECLARANT)

Retrieval chunks

• #1

  Form ID: CARE-111 Title: Proof of Personal Service of Notice of Initial Appearance—CARE Act Proceedings Effective Date: 2026-01-01 Mandatory Form: no Languages: 汉语, فارسی, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/CARE-111 Primary Download URL: https://www.courts.ca.gov/document…

• #2

  About the CARE Act (form CARE-060-INFO), and the report ordered under Welfare and Institutions Code section 5977(a)(3). 4. My name, address, telephone number, and, if applicable, county of registration and number, are (specify): 5. I am (check all that apply): a. not a registered California process server. b. a r…