PROOF OF SERVICE
I hereby certify that I served a copy of the Complaint, Summons, and Answer form upon
the defendant(s) by delivering or leaving said papers in the following manner:
__ to the defendant personally
__ at his/her dwelling unit or usual place of abode at the address listed below, with
a person of suitable age then residing therein
__ to an agent named below authorized by appointment or by law to receive service of
process
__ further notice as required by law was given as noted below
Address of dwelling or usual place of abode:
_________________________________________
Name of person of suitable age or of agent:
_________________________________________
Service Date: _____
Deputy Sheriff/Constable (circle one):
_______________________________________________________________________
(signature)
(i) The summons in an action relating to any claims by tenants, or by landlords other
than for eviction, shall be in substantially the following form:
State of Rhode Island
District Court Summons
_________________________________________ ______
_________________________________________
DIVISION COUNTY
CIVIL ACTION-FILE NO.
_________________________________________
_________________________________________
PLAINTIFF
PLAINTIFF’S ATTORNEY
_________________________________________
ADDRESS
vs
_________________________________________ ______
DEFENDANT
_________________________________________
DEFENDANT’S ADDRESS
_________________________________________
_________________________________________
TO THE ABOVE-NAMED DEFENDANT: