Form App 109 PDF Details

In legal proceedings, ensuring all parties receive necessary documents in a timely and verifiable manner is crucial. The Proof of Service APP-109 form fulfills this requirement within the context of appellate division cases in California's superior courts. This document, an essential tool for transparency and procedural fairness, must be completed by an individual who is least 18 years old and not a party to the case. It provides a structured method for recording the delivery of legal documents, either through mail or personal delivery, to involved parties. The form serves as a tangible acknowledgment that specific documents—ranging from notices of appeal in limited civil, misdemeanor, or infraction cases to various briefs and petitions—have been served. Additionally, it contains sections to detail how and when the documents were delivered (with specific attention to mailing or direct delivery), and it includes a declaration under penalty of perjury to affirm the truthfulness of the provided information. Guided by the instructions on the APP-109-INFO form, this proof of service plays a pivotal role in the appellate process, ensuring all parties are duly informed and that the case can proceed with everyone having access to the same information.

QuestionAnswer
Form NameForm App 109
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesapp 109 proof service appellate, app 109 proof service, the app 109, app 109 service

Form Preview Example

 

Proof of Service

APP-109

(Appellate Division)

 

 

 

Instructions

This form is only for providing proof that a document has been served (delivered) in a proceeding in the superior court appellate division. If you are serving a document electronically, please use Proof of Electronic Service (Appellate Division) (form APP-109E).

The person who serves (delivers) a document in this case and who fills out this form:

Must be at least 18 years old

Must NOT be a party in this case

Before you fill out this form, read What Is Proof of Service? (form APP-109-INFO) to understand your responsibilities.

1At the time I served the documents listed in 4 , I was at least 18 years old.

2I am not a party in the case identified in the box on the right side of this page.

3 My

home

business address is:

 

 

 

 

 

 

 

 

 

 

Street

 

 

City

 

State Zip

4I mailed or personally delivered the following document, as indicated below (check or fill in the name of the document you are serving and check and complete either a or b).

Clerk stamps date here when form is filed.

You fill in the name and street address of the court that issued the decision that is being challenged in this case:

Superior Court of California, County of

You fill in the number and name of the trial court case in which the decision being challenged was issued:

Trial Court Case Number:

Trial Court Case Name:

You fill in the appellate division case number (if you know it):

Notice of Appeal/Cross Appeal (Limited Civil Case)

Notice Designating Record on Appeal (Limited Civil Case)

Proposed Statement on Appeal ( Limited Civil Case

Appellate Division Case Number:

Misdemeanor Infraction)

Appellant’s Opening Brief

Respondent’s Brief

Appellant’s Reply Brief

Abandonment of Appeal (Limited Civil Case)

Petition for Writ (Misdemeanor, Infraction, or Limited Civil Case)

Other (write in the name of the document):

a.

Service by Mail

(1)

I put one copy of the document identified 4 in an envelope addressed to each person listed in (2),

 

sealed the envelope, and put first-class postage on the envelope.

Judicial Council of California, www.courts.ca.gov Rev. January 1, 2017, Optional Form

Proof of Service

APP-109 Page 1 of 2

(Appellate Division)

Appellate Division

Case Name:

Appellate Division Case Number:

(2)The envelope or envelopes were addressed as follows:

(a)Name of person served: Address on envelope:

Street

City

State Zip

(b)(Name of person served: Address on envelope:

 

Street

City

State Zip

 

Check here if you mailed copies of the document identified in 4

to more people. Attach a

 

separate page listing the names and addresses on each additional envelope you mailed. Write

 

“APP-109, Item 4a” on the top of the page.

 

 

(3) I mailed the envelope or envelopes on (date):

from (city):

 

(state):

by depositing the envelope or envelopes (check one):

 

(a)

(b)

With the U.S. Postal Service or

At an office or business mail drop where I know the mail is picked up every day and deposited with the U.S. Postal Service.

b. Service by Personal Delivery

I personally gave one copy of the document identified in 4 to each of the following people:

(1)(a) Name of person served:

(b)(Address where you gave the documents to this person:

Street

City

State Zip

(c)Date when you gave the documents to this person:

(d)Time when you gave the documents to this person:

(2)(a) Name of person served:

(b)(Address where you gave the documents to this person:

Street

City

State Zip

(c)Date when you gave the documents to this person:

(d)Time when you gave the documents to this person:

Check here if you gave copies of the document identified in 4 to more people. Attach a separate page listing the names of each of these people, the address where you gave each of them the document, and the date and time you gave them the document. Write “APP-109, Item 4b” on the top of the page.

5I declare under penalty of perjury under California state law that the information above is true and correct.

Date:

Type or print server’s name

Server signs here after serving

Rev. January 1, 2017

Proof of Service

APP-109 Page 2 of 2

(Appellate Division)

How to Edit Form App 109 Online for Free

Dealing with PDF documents online is definitely a breeze with our PDF tool. Anyone can fill out proof of service app 109 here and try out many other options available. The editor is consistently updated by our team, acquiring useful features and growing to be better. To get the process started, consider these easy steps:

Step 1: Click on the "Get Form" button above on this webpage to get into our editor.

Step 2: The editor will allow you to change your PDF in a variety of ways. Change it by including personalized text, adjust existing content, and add a signature - all at your disposal!

When it comes to fields of this specific form, here is what you want to do:

1. Begin completing your proof of service app 109 with a selection of necessary fields. Get all the important information and make certain not a single thing left out!

Part no. 1 of filling in proof service division printable

2. After filling out the last step, go on to the subsequent stage and enter the necessary particulars in these blank fields - Proposed Statement on Appeal, Limited Civil Case, Misdemeanor, Infraction, Appellants Opening Brief, Respondents Brief, Appellants Reply Brief, Abandonment of Appeal Limited, Petition for Writ Misdemeanor, Other write in the name of the, Service by Mail, I put one copy of the document, Judicial Council of California, Proof of Service Appellate Division, and APP Page of.

Completing part 2 in proof service division printable

People who work with this form frequently make mistakes while completing Proposed Statement on Appeal in this part. Be sure to go over whatever you type in here.

3. In this part, take a look at Appellate Division, Case Name, Appellate Division Case Number, The envelope or envelopes were, Name of person served, Address on envelope, Street, Name of person served, Address on envelope, Street, City, City, State Zip, State Zip, and Check here if you mailed copies of. All of these need to be filled out with highest attention to detail.

Filling in part 3 of proof service division printable

4. The next paragraph will require your attention in the subsequent areas: At an office or business mail drop, Service by Personal Delivery, I personally gave one copy of the, Name of person served, Address where you gave the, Street, City, State Zip, Date when you gave the documents, Time when you gave the documents, Name of person served, Address where you gave the, Street, City, and State Zip. Make certain you fill out all of the required details to go onward.

Filling out section 4 of proof service division printable

5. As you get close to the finalization of your form, there are several extra requirements that should be fulfilled. Notably, Time when you gave the documents, Check here if you gave copies of, I declare under penalty of perjury, Date, Rev January, Type or print servers name, Server signs here after serving, Proof of Service Appellate Division, and APP Page of should be done.

How you can fill out proof service division printable step 5

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