Attachment to Proof of Service—Civil (Persons Served)
California · Judicial Council of California · Effective February 1, 2017
This form is an extra sheet used to list the names and addresses of people who received legal papers in a civil case. It is meant to be attached to the main Proof of Service form (POS-040).
The court describes it as: Gives more space to list parties in a civil case who had legal papers delivered to (served on) them. This can be attached to POS-040 Proof of Service—Civil (Proof of Service).
Where this fits in a case
HearingStage: Hearing
This form is used when a party needs more space to list all the people who were officially given legal documents in a civil case.
Either party may file.
Official instructions
How-to guides published by the court for this form.
Common questions
- What is this form for?
- This form is an attachment that gives more space to list the names and addresses of people who received legal papers in a civil case.
- Does this form stand alone?
- No, this attachment is for use with the main form, POS-040 Proof of Service—Civil.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect February 1, 2017.
Related forms
- POS-040
Proof of Service—Civil (Proof of Service)
This form is used to tell the court that certain legal papers in a civil case were delivered to the other party. It asks the person filing it to list what papers were served, who received them, where, when, and how the service happened.
OptionalFillable PDFHearing
Eff. Jan 1, 2020
- ADR-100
Statement of Agreement or Nonagreement
This form is used by a mediator to tell the court if a mediation session happened and if the people involved reached an agreement. It also confirms that the mediator gave a copy of this form to the parties.
MandatoryFillable PDFHearing
Eff. Jul 1, 2012
- CD-130
Writ of Possession
This form is a court order directed to the sheriff. It tells the sheriff to take and hold property that the court believes belongs to the person who filed the case, but that the defendant is keeping wrongly. It also informs the defendant about their rights.
MandatoryFillable PDFHearing
Eff. Jan 1, 2006
- CIV-120
Notice of Entry of Dismissal and Proof of Service
This form tells everyone involved in a case that the court has officially dismissed the case. It also has a section for proving that copies of the dismissal notice were sent to all necessary people.
OptionalFillable PDFHearing
Eff. Jan 1, 2012
- CIV-140
Declaration of Demurring Party Regarding Meet and Confer
This form is a declaration that tells the court the person filing a demurrer, motion to strike, or motion for judgment on the pleadings talked to the other side first. It also explains if the other side did not respond to the request to talk about the case.
OptionalFillable PDFHearing
Eff. Jan 1, 2019
- CIV-141
Declaration of Demurring Party in Support of Automatic Extension
This form is a declaration used to tell the court that the other side refused to discuss the case with you about filing a demurrer, motion to strike, or motion for judgment on the pleadings. It also informs the court that you are automatically entitled to a 30-day extension to file that document.
OptionalFillable PDFHearing
Eff. Jan 1, 2019
- DAL-006
Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference
This form is a cover sheet and declaration used to tell the court clerk that certain documents being filed are private. It is used when filing with an Application for Stay of Proceedings and Early Evaluation Conference.
MandatoryFillable PDFHearing
Eff. Jul 1, 2013
- DAL-012
Proof of Service—Disability Access Litigation
This form is used in a civil case about whether a building meets rules for disabled access. It lets the court know that certain legal papers were delivered to the other party.
OptionalFillable PDFHearing
Eff. Jan 1, 2016