Vol. 146, No. 5 — February 29, 2012

Form 8 / CERTIFICATE OF SERVICE BY SHERIFF

Court File No.

COURT OF ONTARIO
(Superior Court of Justice)
((specify) Region)

BETWEEN:

HER MAJESTY THE QUEEN

—and—

(specify name of accused)

CERTIFICATE OF SERVICE BY SHERIFF
(Criminal Proceedings Rules, Rule 5.09, Form 8)

(Personal service)

I, (full name), Sheriff (or Sheriff’s Officer) of the (County, District, Regional Municipality) of _________, certify that on (date), at (time), I served (identify person served) with (identify document(s) served) by leaving a copy with him (or her) at (address at which service was made). (Where rules provide for personal service on a corporation, etc., by leaving a copy of the document(s) with another person, substitute: by leaving a copy with (identify person by name and title) at (address at which service was made).

I was able to identify the person by means of (state the means by which the person’s identity was ascertained).

(Service by leaving a copy with an adult person in the same household as an alternative to personal service)

I, (full name), Sheriff (or Sheriff’s Officer) of the (County, District, Regional Municipality) of __________, certify that I served (identify person served) with this (these) document(s) by leaving a copy in a sealed envelope addressed to him (or her) on (date), at (time), with a person (insert name if known) who appeared to be an adult member of the same household in which (identify person served) is residing at (address at which service was made), and by sending a copy by prepaid first class (or registered or certified) mail on (date) to (identify person served) at the same address.

I ascertained that the person was an adult member of the household by means of (state how it was ascertained that the person was an adult member of the household).

Before serving the document(s) in this way, I made an unsuccessful attempt to serve (identify person) personally at the same address on (date). (If more than one attempt has been made, add: and again on (date).)

Date: _________________________

 _________________________________

Signature of Sheriff or Sheriff’s Officer