Alberta Affidavit of Service FormAlberta Affidavit of Service FormAlberta Affidavit of Service Form
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Provincial Court of Alberta

Action No.

Affidavit of Service

Print Name and Address

I,
of
make oath and say / solemnly affirm and declare that I served

Cross off and initial all
non-applicable sections

Personal Service on an
individual

with a true copy of the attached Civil Claim/Notice to the Defendant/Form of Dispute Note/Order/Notice of ­Application/
Notice of Assessment by:
a)

delivering the copies on

personally to the Plaintiff/Defendant at

date
write out the full address

Service by Registered
mail on an individual

b)

mailing the copies to the party named above at

write out the full address

at the party's most usual place of residence.
Attached and marked Exhibit “A” is the receipt from the Post Office and attached and marked Exhibit “B” is the
acknowledgement of receipt from the Defendant or a person receiving it on the Defendant's behalf
dated
Personal service at the
most usual residence of
individual

c)

date from acknowledgement of receipt

leaving the copies on