CERTIFICATE OF SERVICE

Caption Example

IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF [COUNTY]

[PLAINTIFF NAME],
Plaintiff,

v. Case No. [CASE NUMBER]

[DEFENDANT NAME],
Defendant.

Service Statement

I certify that on [DATE OF SERVICE], pursuant to ORCP 9, I served the [TITLE OF DOCUMENT SERVED] on the following person(s):

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Defendant"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via Oregon eFile (Odyssey File & Serve)
• [ ] Electronic mail (consent under ORCP 9 G(1)(d))
• [ ] Hand delivery
• [ ] First-Class Mail, postage prepaid
• [ ] Certified Mail / Commercial delivery
• [ ] Facsimile (consent per ORCP 9 G(1)(c))
• Time of Service: [TIME]

[Repeat bullet list for each additional recipient.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• Oregon eFile transaction ID: [ID].
• If alternative service ordered under ORCP 9 G(6), describe: [DETAILS 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]
[OREGON STATE BAR NUMBER]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Self-Represented [PARTY]

Practitioner Notes

• Retain electronic service receipts for potential motions regarding adequacy of service.
• Ensure compliance with UTCR 21.040 regarding confidential attachments.
• Local supplemental rules (SLRs) may require additional recipients; verify with the county clerk.