
FL-605
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): OR
GOVERNMENTAL AGENCY (under Family Code, §§ 17400 and 17406)
FOR COURT USE ONLY
TELEPHONE NO. (Optional): FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
NAME OF COURT, JUDICIAL DISTRICT, AND BRANCH COURT, IF ANY:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
OTHER PARENT:
CASE NUMBER:
NOTICE AND ACKNOWLEDGMENT OF RECEIPT
(Governmental)
To (name of person served):
NOTICE
The documents described below are being served on you by mail with this acknowledgment form. If you are being served on behalf
of a corporation, an unincorporated association (including a partnership), or other entity, you must sign this acknowledgment in the
name of the entity or a person authorized to receive service of process on behalf of the entity must sign the form to acknowledge
receipt of the documents. In all other cases, you must personally sign, or a person authorized by you must sign this form to
acknowledge receipt of the documents.
If the documents described below include a Summons and you fail to complete and return this acknowledgment form to the sender
within 20 days of the date of mailing, you will be liable for the reasonable expenses incurred after that date in serving you or in
attempting to serve you by any other methods permitted by law. If you return this form to the sender, service of a Summons is
deemed complete on the date you sign the acknowledgment of receipt below.
Date of mailing:
(TYPE OR PRINT NAME) (SIGNATURE OF SENDER)
ACKNOWLEDGMENT OF RECEIPT
I agree I received the following (to be completed by sender before mailing):
A copy of the Summons and Complaint (form FL-600) and proposed Judgment Regarding Parental Obligations (form FL-630)
and a blank Answer to Complaint or Supplemental/Amended Complaint Regarding Parental Obligations (form FL-610).
1.
2.
A copy of the Summons with standard restraining orders, and
an Order to Show Cause (form FL-300) and a blank Responsive Declaration to Order to Show Cause or Notice of
(a)
Motion (form FL-320)
a completed and a blank Income and Expense Declaration (form FL-150).
(b)
3.
Other documents (specify):
(To be completed by recipient):
(TYPE OR PRINT NAME) (SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT)
Petitioner/Plaintiff Attorney of Record
Respondent/Defendant Other (specify):
Other parent
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Code of Civil Procedure, §§ 415.30, 417.10;
Cal. Rules of Court, rule 5.110
NOTICE AND ACKNOWLEDGMENT OF RECEIPT
(Governmental)
Form Adopted for Mandatory Use
Judicial Council of California
FL-605 [Rev. January 1, 2007]
www.courtinfo.ca.gov
Date this acknowledgment is signed: