Return of Service

Court of Washington For No. ______Petitioner (Protected Person) Return of Service vs. (RTS) ______Respondent (Restrained Person)

1. My name is . I am a peace officer 18 years of age or older and not the petitioner or the respondent. 2. I served [name of person served] on ______[date] at ______[time] at this address: ______with the following documents:

Petition for Sexual Assault Protection Sexual Assault Protection Order Order Motion to Modify/Terminate Sexual Temporary Sexual Assault Protection Assault Protection Order Order and Notice of Hearing Order Modifying/Terminating Sexual Reissuance of Temporary Sexual Assault Protection Order Assault Protection Order and Notice Petition for Renewal of Sexual Assault of Hearing Protection Order Respondent’s Petition to Reopen Order on Renewal of Sexual Assault Temporary Sexual Assault Protection Protection Order Order Other: Order on Respondent’s Petition to Reopen Temporary Sexual Assault Protection Order .

Return of Service (RTS) – Page 1 of 2 WPF SA-4.020 (6/2006) – Laws of 2006, ch. 138 3. I was unable to make personal service on the respondent. I have notified the petitioner that respondent was not served. I was unable to make personal service on the petitioner. I have notified the respondent that petitioner was not served. Personal service was attempted on the following date(s)

. No service was attempted because

4. Other: ______.

I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.

Dated: ______at ______, Washington.

Fees: Service ______Mileage ______Signature of Server

______Print or Type Name

Total ______Law Enforcement Agency

Return of Service (RTS) – Page 2 of 2 WPF SA-4.020 (6/2006) – Laws of 2006, ch. 138