Riverside — Plaintiff Claim and Order to Defendant Form Example (PDF)

Source: https://www.riversidesheriff.org/DocumentCenter/View/165/Plaintiff-Claim-and-Order-to-Defendant-Form-Example-PDF

Sparse pages use OCR; original PDF remains authoritative.

EXAMPLE DATA - DO NOT SUBMIT (General Civil Process) INSTRUCTIONS TO THE SHERIFF OF THE COUNTY OF RIVERSIDE The Sheriff must have written, signed, instructions by the attorney, or the party if he/she has no attomey in accordance with CCP 262; 687.010. htto:/Avww. riversidesheriff.org O Court Services « Central CJ Court Services + East Court Services ¢ West 30755-D Auld Rd., Ste. L067 46200 Oasis St., Rm B15 4095 Lemon St., 4" Floor Murrieta, CA 92563 Indio, CA 92201 Riverside, CA 92501 951-304-5050 « FAX 951-304-5066 760-863-8255 * FAX 760-863-8919 951-955-2420 « FAX 951-955-6155 John Doe Mary Doe Plaintiff NS Defendant JXC1022887 Court Case Number Levying Officer File Number The Sheriff is entitled to his fee whether or not the service has been effected. Please type or print legibly SERVE DOCUMENTS ON DEFENDANT: Name: Mary Doe HOME ADDRESS: 1 Dove Street CITY: ZIP CODE: Riverside, CA 92501 Telephone number (if available) EMPLOYER'S ADDRESS: DESCRIPTION: Hisp ; F 732,54 7125 7, brn ,brn_ , unknown Race Sex Age Ht. Wt. Hair Eyes DOB Vehicle(if known): Toyota/Corolla unknown blue Make/Model Year/License Number Color: 4] Defendant may pose threat (explain): She's known to be very aggressive. TYPE OF DOCUMENTS TO BE SERVED: SU™mons and Petition HEARING DATE (if applicable): 06/24/19 TS . OP ro 05/06/19 Signature of attorney (or party without an attorney) Date John Doe Print name of attorney (or party without an attorney) 2 Kay Street, Riverside, CA. 92501 Address of attorney (or party without an attorney) Number, Street, City, State, ZIP Code 951-222-2222 Telephone Number Cell Number johndoe@gmail.com E-Mail Address FAX Number RSD Form 800d (Rev. 11/17)