EA-250 - Proof of Service of Response by Mail

Summary

Proof of Service of Response by Mail

Text

Form ID: EA-250
Title: Proof of Service of Response by Mail
Effective Date: 2023-01-01
Mandatory Form: no
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/EA-250
Primary Download URL: https://www.courts.ca.gov/documents/ea250.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/ea250c.pdf, https://www.courts.ca.gov/documents/ea250k.pdf, https://www.courts.ca.gov/documents/ea250s.pdf, https://www.courts.ca.gov/documents/ea250v.pdf
Form Detail Page:
Proof of Service of Response by Mail
(EA-250)
Use this form to prove to the court that you gave the other side court papers by mail.
Get form EA-250
汉语
Get form EA-250 in Chinese Simplified
(Chinese Simplified)
한국어
Get form EA-250 in Korean
(Korean)
español
Get form EA-250 in Spanish
(Spanish)
Tiếng Việt
Get form EA-250 in Vietnamese
(Vietnamese)
Effective: January 1, 2023
Go to
How-to instructions for Elder Abuse
Go to
Elder Abuse Form Packets
Go to
How-to instructions for Proof of Service
PDF Text:
Judicial Council of California,    
Rev. January 1, 2023, Optional Form 
Welfare and Institutions Code, § 15657.03
www.courts.ca.gov
Proof of Service of Response by Mail  
(Elder or Dependent Adult Abuse Prevention)
EA-250,  Page 1 of 1
EA-250 Proof of Service of  
Response by  Mail
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
1 Elder or Dependent Adult Seeking Protection
Full Name:
2 Person From Whom Protection Is Sought
Your Full Name:
3 Notice to Server
The server must:
• Be 18 years of age or older.
• Live or be employed in the county 
where the mailing took place.
1• Not be listed in items      ,       , or 
of form EA-100 or in items       ,      ,     
or       on form EA-300.
3 6
1 2 3
4
• Mail a copy of all documents checked 
in             .    
4 to the person in       .1
• Complete and sign this form and give  
it to the person in      .
2
4 PROOF OF SERVICE BY MAIL
I am 18 years of age or older and not a party to this proceeding. I live or am employed in the county where the 
mailing took place. I mailed the person in      
1 a copy of all documents checked below:
a. Form EA-120, Response to Request for Elder or Dependent Adult Abuse Restraining Orders (completed)
b. Form EA-320, Response to Request for Elder or Dependent Adult Restraining Order Allowing Contact 
c. Other (specify):
5 I placed copies of the documents above in a sealed envelope and mailed them as described below:
a. Mailed to (name):
b. To this address: 
City: State: Zip:
c. On (date) Mailed from (city): State:
6 Server s Information’
Name:
Address:
City: State: Zip:
(If you are a registered process server):
County of registration: Registration number:
I declare under penalty of perjury under the laws of the State of California that the information above is true and  
correct.
Date:
Type or print server s name ’
Server to sign here
Telephone:

Retrieval chunks

• #1

  Form ID: EA-250 Title: Proof of Service of Response by Mail Effective Date: 2023-01-01 Mandatory Form: no Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/EA-250 Primary Download URL: https://www.courts.ca.gov/documents/ea250.pdf Alternate Download URLs: https://www.cou…

• #2

  c. Other (specify): 5 I placed copies of the documents above in a sealed envelope and mailed them as described below: a. Mailed to (name): b. To this address: City: State: Zip: c. On (date) Mailed from (city): State: 6 Server s Information’ Name: Address: City: State: Zip: (If you are a registered process se…