CERTIFICATE OF SERVICE

Caption Example

IN THE CIRCUIT COURT OF [CITY/COUNTY] COUNTY/CITY, VIRGINIA

[PLAINTIFF NAME],
Plaintiff,

v. Case No. [CASE NUMBER]

[DEFENDANT NAME],
Defendant.

Service Statement

Pursuant to Rule 1:12, I certify that on [DATE OF SERVICE] the [TITLE OF DOCUMENT SERVED] was served upon the following person(s):

• Recipient: [NAME]
• Capacity: [E.G., "Counsel for Defendant"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via VJEFS (registered user)
• [ ] Electronic mail (consent pursuant to Rule 1:12(c))
• [ ] Hand delivery
• [ ] U.S. Mail, postage prepaid
• [ ] Certified Mail / Commercial courier
• [ ] Facsimile (consent on record)
• Time of Service: [TIME]

[Repeat bullet list for additional recipients.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• VJEFS transaction/reference number: [ID].
• If alternative service approved by court order, describe compliance: [DETAILS OR "N/A"].

Declaration

I certify that the foregoing is true and complete.

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[VIRGINIA STATE BAR NUMBER]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]

Practitioner Notes

• Retain proof of service for potential motions under Rule 4:12 or sanctions hearings.
• Confirm compliance with Rule 3:3 regarding personal identifying information in served documents.
• Check local practice (e.g., Fairfax County) for additional certificate language or courtesy copy requirements.