CERTIFICATE OF SERVICE

Caption Example

[PARISH] PARISH
[___] JUDICIAL DISTRICT COURT
STATE OF LOUISIANA

[PLAINTIFF NAME],
Plaintiff,

v. Docket No. [DOCKET NUMBER]

[DEFENDANT NAME],
Defendant.

Statement of Service

Pursuant to Louisiana Code of Civil Procedure Articles 1313 and 1314, I certify that on [DATE OF SERVICE] a copy of [TITLE OF DOCUMENT SERVED] was served upon:

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Defendant"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s) of Service:
• [ ] Electronic service via [E-FILING SYSTEM] (consent per La. C.C.P. art. 1313(A)(4))
• [ ] Electronic mail (written consent)
• [ ] Hand delivery / courier
• [ ] U.S. Mail, postage prepaid
• [ ] Certified Mail, return receipt requested
• [ ] Sheriff service / process server (if required by art. 1314)
• Time of Service: [TIME]

[Repeat bullet list for additional recipients.]

Additional Notes

• Mailing deposited at: [CITY], Louisiana.
• If Article 1314 personal service was required, identify serving officer: [NAME].
• If service made outside Louisiana, confirm compliance with Article 1313(D): [DETAILS OR "N/A"].

Declaration

I declare under penalty of perjury that the foregoing information is true and correct.

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[LOUISIANA BAR ROLL NO.]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]

Practitioner Notes

• Some parishes mandate use of specific proof of service forms; confirm with the clerk of court.
• Preserve evidence of consent for electronic service for the record.
• Review any protective orders affecting disclosure of contact information.