CERTIFICATE OF SERVICE

Caption Example

IN THE CIRCUIT COURT OF [COUNTY] COUNTY, WEST VIRGINIA

[PLAINTIFF NAME],
Plaintiff,

v. Civil Action No. [CASE NUMBER]

[DEFENDANT NAME],
Defendant.

Service Statement

Pursuant to Rule 5 of the West Virginia Rules of Civil Procedure, I certify that on [DATE OF SERVICE] the [TITLE OF DOCUMENT SERVED] was served upon:

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Defendant"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via WV E-File (registered user)
• [ ] Electronic mail (consent provided)
• [ ] Hand delivery / courier
• [ ] U.S. Mail, postage prepaid
• [ ] Certified Mail / Commercial carrier
• Time of Service: [TIME]

[Repeat bullet list for additional recipients.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• WV E-File transaction/reference number: [ID].
• If alternative service authorized by the court (Rule 4), describe compliance: [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]
[WEST VIRGINIA BAR ID]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]

Practitioner Notes

• Retain proof of service for potential motions or appellate review.
• Confirm compliance with Trial Court Rule 10 regarding confidentiality and redaction.
• Local administrative orders may require courtesy copies; document any additional deliveries as needed.