CERTIFICATE OF SERVICE

Caption Example

IN THE COURT OF COMMON PLEAS
[COUNTY] COUNTY, OHIO
[DIVISION]

[PLAINTIFF NAME],
Plaintiff,

v. Case No. [CASE NUMBER]
Judge [JUDGE NAME]
[DEFENDANT NAME],
Defendant.

Service Statement

Pursuant to Ohio Civ.R. 5(B), I certify that on [DATE OF SERVICE] the [TITLE OF DOCUMENT SERVED] was served on the following person(s):

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Defendant"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via [COUNTY E-FILING SYSTEM] (registered user)
• [ ] Electronic mail (consent documented pursuant to Civ.R. 5(B)(2)(f))
• [ ] Hand delivery
• [ ] U.S. Mail, postage prepaid
• [ ] Certified Mail / Commercial carrier
• Time of Service: [TIME]

[Repeat bullet list as needed.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• E-filing transaction/reference number: [ID].
• If alternative service authorized by court order (Civ.R. 5(B)(2)(c)), describe: [DETAILS OR "N/A"].

Declaration

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

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[OHIO SUPREME COURT REG. NO.]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]

Practitioner Notes

• Retain proof of service for potential sanctions hearings or appellate records.
• Confirm compliance with local rules regarding service on magistrates or court staff.
• Redact personal identifiers consistent with Sup.R. 45(D) before serving documents electronically.