CERTIFICATE OF SERVICE

Caption Example

IN THE CIRCUIT COURT OF [COUNTY] COUNTY, MISSOURI
[DIVISION]

[PLAINTIFF NAME],
Plaintiff,

v. Case No. [CASE NUMBER]

[DEFENDANT NAME],
Defendant.

Service Statement

Pursuant to Missouri Supreme Court Rule 43.01, I certify that on [DATE OF SERVICE] the [TITLE OF DOCUMENT SERVED] was served on the following:

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Plaintiff"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via Missouri Case.net eFiling (registered user)
• [ ] Electronic mail (consent provided)
• [ ] Personal delivery
• [ ] U.S. Mail, first-class postage prepaid
• [ ] Certified Mail / Commercial courier
• Time of Service: [TIME]

[Repeat for each recipient served.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• eFiling transaction/reference number: [ID].
• If service completed under Rule 43.01(c) (nonparty service), identify process server: [NAME OR "N/A"].

Declaration

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

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[MISSOURI BAR NUMBER]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Self-Represented [PARTY]

Practitioner Notes

• Verify local orders for mandatory use of specific certificate formats (e.g., St. Louis City/County).
• Retain electronic notifications and mail receipts for inclusion in any motion to enforce service.
• Ensure compliance with Rule 55.03 regarding signatures on filed certificates.