Affirmation of Service of Summons with Endorsed Complaint (Personal Delivery)

New York State Courts · Civil Lawsuits

Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗

Affirmation by the server that a summons with endorsed complaint in the Civil Court of the City of New York was personally delivered to the defendant, giving the time, date, address and a description of the person served.