FL-115 - Proof of Service of Summons (Family Law-Uniform Parentage-Custody and Support)

Summary

Proof of Service of Summons (Family Law-Uniform Parentage-Custody and Support)

Text

Form ID: FL-115
Title: Proof of Service of Summons (Family Law-Uniform Parentage-Custody and Support)
Effective Date: 2021-01-01
Mandatory Form: no
Languages: español
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-115
Primary Download URL: https://www.courts.ca.gov/documents/fl115.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl115s.pdf
Form Detail Page:
Proof of Service of Summons (Family Law-Uniform Parentage-Custody and Support)
(FL-115)
Tells the court that you had your spouse or domestic partner served with the legal papers to start your case. Tells when and where the papers were served, and who served them.
Get form FL-115
español
Get form FL-115 in Spanish
(Spanish)
Effective: January 1, 2021
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PDF Text:
Page 1 of 2
Form Approved for Optional Use 
Judicial Council of California 
FL-115  [Rev. January 1, 2021]
PROOF OF SERVICE OF SUMMONS  
(Family Law—Uniform Parentage—Custody and Support)
Code of Civil Procedure, § 417.10 
FL-115
PROOF OF SERVICE OF SUMMONS
FOR COURT USE ONLY
CASE NUMBER:
PARTY WITHOUT ATTORNEY  or  ATTORNEY             STATE BAR NO.:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
FAX NO.:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
1. At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of:
a. Family Law: Petition—Marriage/Domestic Partnership  (form             ), Summons (form             ), and blank Response—
Marriage/Domestic Partnership (form              )
–or–
b. Uniform Parentage: Petition to Determine Parental Relationship (form            ), Summons (form             ), and blank 
Response to Petition to Determine Parental Relationship (form             )
–or–
c. Custody and Support: Petition for Custody and Support of Minor Children (form             ), Summons (form             ), and 
blank Response to Petition for Custody and Support of Minor Children (form             )
and
d. (1) Completed and blank Declaration Under 
Uniform Child Custody Jurisdiction and 
Enforcement Act (UCCJEA) (form             )
(2) Completed and blank Declaration of 
Disclosure (form              )
(3) Completed and blank Schedule of Assets 
and Debts (form              )
(4) Completed and blank Income and 
Expense Declaration (form             )
(5) Completed and blank Financial Statement 
(Simplified) (form             )
(6) Completed and blank Property 
Declaration (form             )
(7) Request for Order (form              ), and blank 
Responsive Declaration to Request for Order 
(form              )
(8) Other (specify):
2. Address where respondent was served:
3. I served the respondent by the following means (check proper boxes):
a. Personal service. I personally delivered the copies to the respondent (Code Civ. Proc., § 415.10)
on (date): at (time):
b. Substituted service. I left the copies with or in the presence of (name):
who is (specify title or relationship to respondent):
(1) (Business) a person at least 18 years of age who was apparently in charge at the office or usual place of 
business of the respondent. I informed the person of the general nature of the papers.
(2) (Home) a competent member of the household (at least 18 years of age) at the home of the respondent. I 
informed the person of the general nature of the papers.
on (date): at (time):
I thereafter mailed additional copies (by first class, postage prepaid) to the respondent at the place where the 
copies were left (Code Civ. Proc., § 415.20b) on (date):
A declaration of diligence is attached, stating the actions taken to first attempt personal service.

FL-115  [Rev. January 1, 2021]
PROOF OF SERVICE OF SUMMONS  
(Family Law—Uniform Parentage—Custody and Support)
Page 2 of 2
FL-115
RESPONDENT:
PETITIONER: CASE NUMBER:
3. c. Mail and acknowledgment service. I mailed the copies to the respondent, addressed as shown in item 2, by 
first-class mail, postage prepaid, on (date): from (city):
(2) to an address outside California (by registered or certified mail with return receipt requested). (Attach signed 
return receipt or other evidence of actual delivery to the respondent.) (Code Civ. Proc., §§ 415.40, 417.20.)
(1) with two copies of the Notice and Acknowledgment of Receipt (form FL-117) and a postage-paid return 
envelope addressed to me. (Attach completed Notice and Acknowledgment of Receipt (form             ).) 
(Code Civ. Proc., § 415.30.)
d. Other (specify code section):
Continued on Attachment 3d.
4. Person who served papers
Name:
Address:
Telephone number:
This person is
a. exempt from registration under Business and Professions Code section 22350(b).
b. not a registered California process server.
c. a registered California process server: an employee or an independent contractor
(2) County:
(3) The fee for service was (specify):  $
(1) Registration no.:
5. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
–or–
6. I am a California sheriff, marshal, or constable, and I certify that the foregoing is true and correct.
Date:
(NAME OF PERSON WHO SERVED PAPERS)
(SIGNATURE OF PERSON WHO SERVED PAPERS)

Retrieval chunks

• #1

  Form ID: FL-115 Title: Proof of Service of Summons (Family Law-Uniform Parentage-Custody and Support) Effective Date: 2021-01-01 Mandatory Form: no Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-115 Primary Download URL: https://www.courts.ca.gov/documents/fl115.pdf Alternate Download …

• #2

  Enforcement Act (UCCJEA) (form ) (2) Completed and blank Declaration of Disclosure (form ) (3) Completed and blank Schedule of Assets and Debts (form ) (4) Completed and blank Income and Expense Declaration (form ) (5) Completed and blank Financial Statement (S…

• #3

  Name: Address: Telephone number: This person is a. exempt from registration under Business and Professions Code section 22350(b). b. not a registered California process server. c. a registered California process server: an employee or an independent contractor (2) County: (3) The fee for service was (specify):…