CERTIFICATE OF SERVICE

Caption Example

IN THE [CIRCUIT/SUPERIOR] COURT OF [COUNTY] COUNTY
STATE OF INDIANA

[PLAINTIFF NAME],
Plaintiff,

v. Cause No. [CAUSE NUMBER]

[DEFENDANT NAME],
Defendant.

Service Certification

I certify that on [DATE OF SERVICE], the [TITLE OF DOCUMENT SERVED] was served upon the following persons pursuant to Indiana Trial Rule 5:

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Plaintiff"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s) of Service:
• [ ] Electronic service via Odyssey File & Serve (registered service contact)
• [ ] Electronic mail (consent pursuant to T.R. 5(B)(1)(d))
• [ ] Hand delivery / Personal service
• [ ] U.S. Mail, first-class postage prepaid
• [ ] Certified Mail / Commercial carrier
• Time of Service: [TIME]

[Repeat for additional recipients.]

Additional Information

• Mailing deposited at: [CITY, STATE].
• Odyssey filing transaction ID: [ID].
• Alternate service authorized by court order (if any): [DETAILS OR "N/A"].

Declaration

I affirm under the penalties for perjury that the foregoing representations are true.

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[INDIANA ATTORNEY NUMBER]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]

Practitioner Notes

• Confirm Trial Rule 5(F) requirements for proof of service filing.
• Retain Odyssey confirmation emails and receipts.
• Some counties require inclusion of the judge’s name in the caption; verify local formatting rules.