N
ATIONWIDE P ROCESS S ERVICE , I NC .
An
1201 SW 12th Ave., Suite 300
Portland, Oregon 97205
AXZAS
NPS#_______________
Company
P/U Time____________
Telephone (503) 241-0636
Facsimile (503) 241-1604
www.nationwideprocess.com
Office_____________________________________________Atty/Sec__________________________ Date _ _____________
File #______________
Case____________________________________________________________________________ Court #______________
Ph #______________
Documents________________________________________Confirm with_ _____________________ Fax #______________
e-mail_________________________________________
Process Service
Serve:____________________________________________ Add’l Address / Instructions:
Address:__________________________________________
_ ________________________________________________
❑ Serve by 5:00 pm Today
❑ Routine Service
❑ Serve Tonight
Proof of Service
NPS Use Only
❑ Original Rec’d
❑ Not Rec’d
❑File proof w/court & provide copy
❑ Serve within 24 hours
Last Day For Service_ _______________________________
❑Return proof to us
❑Additional copies attached for sub-service mailing
Court Filing Service
❑ File Today
❑ Clackamas
❑ Lane
❑ Washington
❑ Bankruptcy Court
❑ File Routine
❑ Columbia
❑ Marion
❑ Yamhill
❑ Federal Court
❑ Filed_________
❑ Jackson
❑ Multnomah
❑ Clark (WA State)
❑ Other ______________
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NATIONWIDE USE ONLY
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PHYSICAL DESCRIPTION:
HAIR
Black
Brown
Blond
Gray
SKIN
White
Black
Yellow
Brown
AGE
15-20
21-35
36-50
51-65
Male
HEIGHT
Under 5’
5’0”-5’3”
5’4”-5’8”
5’9”-6’0”
Female
WEIGHT Under 100 lbs.
100-130
131-160
161-200
Field Notes:_______________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Personal Service on __________________________________
__________________________________________________________
Title/Relationship _ ___________________________________
__________________________________________________________
Sub-Service On _ ____________________________________
Address _ __________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________
❑ SUBSERVICE MAILING
MESS:
DATE:
Date_________ Time_______AM/PM Server________________
DONE____________ BY________ MESS: DATE: