Form USM 94 at a glance
What it is: This form is a request for service abroad of judicial or extrajudicial documents.
Who signs: Enter Done at and The / le, and sign the Signature and/or stamp line.
A filled-in Form USM 94 example: a process server asks a foreign authority to serve a summons

How to fill out Form USM 94, box by box
Method a), b) or c)

Check a) for service in accordance with the provisions of sub-paragraph a) of the first paragraph of Article 5 of the Convention.
Check b) for service in accordance with the following particular method (sub-paragraph b) of the first paragraph of Article 5), and enter the particular method.
Check c) for delivery to the addressee, if he accepts it voluntarily (second paragraph of Article 5).
List of documents, Done at and Signature and/or stamp
Certificate

The undersigned authority certifies, in conformity with Article 6 of the Convention, 1. that the document has been served.
The undersigned authority certifies, in conformity with Article 6 of the Convention, 2. that the document has not been served, by reason of the following facts.
In conformity with the second paragraph of Article 12 of the Convention, the applicant is requested to pay or reimburse the expenses detailed in the attached statement, if appropriate.
Judicial document

For a judicial document, mark JUDICIAL DOCUMENT and enter the nature and purpose of the document.
For a judicial document, enter the nature and purpose of the proceedings and, when appropriate, the amount in dispute; if appropriate, enter the date and place for entering appearance, the court which has given judgment, the date of judgment and the time limits stated in the document.
More rules for Form USM 94
The Convention on the Service Abroad of Judicial and Extrajudicial Documents in Civil or Commercial Matters was signed at The Hague, the 15th of November 1965.
The blanks could be completed either in the language of the State to which the document is to be sent, or in English or French.
Sources
[1] Form USM 94, Request for Service Abroad of Judicial or Extrajudicial Documents (Permanent Bureau July 2017), HCCH (the Official source link on this page).




