Sample Affidavit of Service
This is an example of what an Affidavit of Service in the Federal Circuit Court could look like. You should make sure that your affidavit relates to the circumstances of your case. If you need more help with an Affidavit of Service, get
legal advice.
This sample form is provided in PDF
and Word
formats.
For instructions on how to fill out this form, see
Instructions for filling out an Affidavit of Service.