Charm City Process Services Client Form
Client Information
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Court Case Information
Trial Date
-
Month
-
Day
Year
Date
Last Date To Serve Documents
-
Month
-
Day
Year
Date
Case Number
Court
Plaintiff
Defendant
Documents To Serve
Upload Documents
Browse Files
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Choose a file
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of
Upload Documents
Browse Files
Drag and drop files here
Choose a file
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of
Upload Documents or photo
Browse Files
Drag and drop files here
Choose a file
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of
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Person To Serve
Name of Person To Serve
First Name
Last Name
Phone Number of Person To Serve
Please enter a valid phone number.
Format: (000) 000-0000.
Email of Person To Serve
example@example.com
Address of Person To Serve
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Alternate Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sex
Please Select
Male
Female
Race
Age
Eyes
Height
Weight
Hair
Beard
Mustache
Glasses
Tattoos
Any other discription
Special Instructions
Veichles
Others Residing At Resifence and Age
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Service
Type of Service Requested
Routine (with in 72 hours Attempt)
Rush (with in 48 hours Attempt)
Same Day
OnDemand
How many pages of documents (first 70 included after $.20/page)
I agree to the submitted information and agree that there are no refunds once payment has been made. I agree that I am paying for the service attempts and the filing of the affidavit (service or nonservice). I agree this is for one address and if address is not correct, we are not responsible. I agree to make payment prior to the start of service.
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