Service Affidavit

CONNECTICUT OFFICER'S RETURN OF SERVICE WORKSHEET

NOT A PARTY AFFIDAVIT OR UNIVERSAL PROOF-OF-SERVICE FORM

Use this worksheet only to prepare the serving officer's return for ordinary
Connecticut Superior Court civil process served in Connecticut on:

• an individual under Conn. Gen. Stat. §§ 52-54 and 52-57(a);

• a town, city, borough, school district, or other municipal or
  quasi-municipal corporation under § 52-57(b); or

• a private corporation under § 52-57(c).

The officer who actually made service must review, complete, and sign the
return. Do not have a party, lawyer, witness, or notary convert it into an
“affidavit of service.” No notarial jurat is included because the cited
ordinary-service statutes call for an officer's return, not a notarized
affidavit.

1. Scope Gate

Do not use this worksheet for:

• summary process or another landlord-tenant possession proceeding;
• a parentage, support, family, juvenile, or protection-order matter;

• probate process, an administrative appeal, or process returnable to the
  Supreme Court;

• a subpoena, prejudgment remedy, execution, garnishment, attachment,
  postjudgment process, or order of notice;

• out-of-state service, service on the state or a state officer, the
  Secretary of the State, a nonresident motorist, or another statutory agent;

• a partnership, voluntary association, limited liability company, insurer,
  financial institution, correction employee, government board or agency,
  municipal employee, or another recipient governed by a special route; or

• service by mail, publication, electronic means, or any substitute method
  not stated in the original process and confirmed under a specific current
  statute or court order.

If any item applies, stop and prepare a matter-specific return from the
current governing authority.

2. Process and Authority Check

The process is directed to:

• ☐ a Connecticut state marshal;
• ☐ a constable;
• ☐ another proper officer authorized by this statute: [CITATION]; or
• ☐ an indifferent person expressly authorized by this statute: [CITATION].

Do not select “indifferent person” based only on age, neutrality, or
nonparty status. Section 52-50(b) requires specific statutory authorization.

Serving officer:

• Full name: [NAME]
• Official capacity: [STATE MARSHAL / CONSTABLE / OTHER AUTHORIZED OFFICER]
• State marshal number or other credential: [NUMBER]
• Business address and telephone: [DETAILS]

3. Timing Check

This worksheet excludes the statutory exceptions listed in § 52-46a.
For an ordinary Superior Court civil action within scope:

• ☐ Counsel or the issuing authority confirmed the date calculations.
• ☐ Service occurred within the applicable period.
• ☐ The original process and return will reach the proper clerk within the
  applicable return period.

Do not copy these periods into a special proceeding. Determine its own rule.

4. Service Facts

Complete one route only. Delete the other routes from the final return.

Route A — Individual

Method:

• ☐ I left a true and attested copy of the process, including the complaint,
  with [DEFENDANT NAME] personally.

• ☐ I left a true and attested copy of the process, including the complaint,
  at [DEFENDANT NAME]'s usual place of abode in Connecticut.

For abode service, the complete address above must appear in the return.
Do not describe leaving papers with some other resident as the legal method;
§§ 52-54 and 52-57(a) focus on leaving the attested copy at the defendant's
usual place of abode.

Route B — Municipality

• Entity type: ☐ Town ☐ City ☐ Borough ☐ School district
  ☐ Other municipal/quasi-municipal corporation

• Exact legal name: [NAME]

• Person served: [NAME]
• Office/title authorized by § 52-57(b): [TITLE]
• Number of true and attested copies delivered: [NUMBER]
• Date and time: [__/__/____] at [__:__ A.M./P.M.]
• Address: [COMPLETE ADDRESS]
• Documents included: [LIST]

If the defendant is a municipal board, commission, department, agency, or
employee, do not use this route; § 52-57(b)(5) and (7) contain separate
recipient and two-copy requirements that require a tailored return.

Route C — Private Corporation

• Exact corporate name: [NAME]
• State or country of organization: [JURISDICTION]
• Person served: [NAME]
• Qualifying office or capacity under § 52-57(c): [TITLE / CAPACITY]
• Facts supporting that capacity: [DETAILS]
• Date and time: [__/__/____] at [__:__ A.M./P.M.]
• Address: [COMPLETE ADDRESS]
• Documents included in the true and attested copy: [LIST]

Confirm that the recipient falls within the current list in § 52-57(c).
Do not use a generic “authorized agent” label without identifying the exact
statutory office, agency, or other capacity.

5. Proposed Return Language

The serving officer should revise this text so it states only what the
officer personally did and accurately tracks the governing statute.

Then and there, by virtue hereof and at the direction of the issuing
authority, on [DATE] at [TIME], I made service of the within and foregoing
process upon [COMPLETE NAME] by [LEAVING A TRUE AND ATTESTED COPY OF THE
PROCESS, INCLUDING THE COMPLAINT, WITH THE DEFENDANT / LEAVING THAT TRUE AND
ATTESTED COPY AT THE DEFENDANT'S USUAL PLACE OF ABODE AT COMPLETE ADDRESS /
DELIVERING THE REQUIRED COPY OR COPIES TO NAME, TITLE OR CAPACITY, AT COMPLETE
ADDRESS], as provided by Conn. Gen. Stat. [SECTION].

The papers served were: [COMPLETE LIST].

And afterwards, on [DATE], I made due return of the original process with my
doings endorsed thereon.

For abode service, include the complete abode address. For an entity, state
the recipient's name and qualifying statutory office or capacity. Do not add
facts that the serving officer cannot verify.

6. Fee Endorsement

Section 52-70 requires the serving officer to endorse the fee items and miles
traveled on the process.

Authority and calculation for each nonstandard item: [DETAILS]

7. Officer Review and Signature

• ☐ I personally made the service described above.

• ☐ The final return identifies the documents, recipient, method, date,
  time, and complete address accurately.

• ☐ The recipient and method match the current governing statute.

• ☐ The fee endorsement lists the fee items and miles traveled.
• ☐ No notary block, generic certified-mail option, or unsupported
  “substitute service” language remains.

__________________________________        Date: ___________________
[SERVING OFFICER NAME]
[STATE MARSHAL / CONSTABLE / OTHER STATUTORILY AUTHORIZED PROPER OFFICER]
[STATE MARSHAL NUMBER OR OTHER CREDENTIAL]
[BUSINESS CONTACT INFORMATION]

8. Filing Handoff

• Original process with officer's doings endorsed: ☐ Attached ☐ Delivered
• Clerk and court location: [DETAILS]
• Delivery method permitted by current court procedure: [DETAILS]
• Delivered or transmitted by: [NAME / ROLE]
• Date and time received by clerk: [DETAILS]
• Receipt or filing confirmation retained: ☐ Yes ☐ No
• Copy returned to issuing authority or counsel: ☐ Yes ☐ No

END OF TEMPLATE