CERTIFICATE OF SERVICE
Caption Example
IN THE COURT OF COMMON PLEAS OF [COUNTY] COUNTY, PENNSYLVANIA
[CIVIL/FAMILY/ORPHANS’ COURT DIVISION]
[PLAINTIFF NAME],
Plaintiff,
v. No. [DOCKET NUMBER]
[DEFENDANT NAME],
Defendant.
Service Statement
Pursuant to Pa.R.C.P. 440, I certify that on [DATE OF SERVICE] a copy of [TITLE OF DOCUMENT SERVED] was served upon the following:
- Recipient: [NAME]
- Capacity: [E.G., "Counsel for Defendant"]
- Service Address/Email: [CONTACT INFORMATION]
- Method(s):
- [ ] Electronic service via [COUNTY E-FILING SYSTEM] (Pa.R.C.P. 205.4)
- [ ] Electronic mail (consent pursuant to Pa.R.C.P. 205.4(g))
- [ ] Hand delivery / courier
- [ ] First-Class Mail, postage prepaid
- [ ] Certified Mail / Commercial carrier
- Time of Service: [TIME]
[Repeat bullet list for each additional recipient.]
Additional Notes
- Mailing deposited at: [CITY, STATE].
- E-filing transaction/reference number: [ID].
- If alternative service was ordered (Pa.R.C.P. 430), describe compliance: [DETAILS OR "N/A"].
Declaration
I certify that the foregoing statements are true and correct to the best of my knowledge, information, and belief, and understand that false statements herein are subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities.
Date: [DATE]
[NAME OF SERVING ATTORNEY OR PARTY]
[PA ATTORNEY I.D. NO.]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]
Practitioner Notes
- Retain e-filing confirmation emails for inclusion in motion practice or appeals.
- Review county local rules for additional certificate requirements (e.g., Philadelphia Civil Rule 205.4).
- Ensure compliance with Pa.R.C.P. 193.1 regarding personal data identifiers before serving documents.