Filed in:
  Federal Circuit and Family Court of Australia
  Family Court of Western Australia
  Other (specify):       
This form must be attached to EITHER:
an Affidavit of Service by Post (Divorce)
OR
both an Affidavit of Service by Hand (Divorce) and Affidavit Proving Signature (Divorce).	Client ID       	
	File number       	
	COURT USE ONLY	
	Filed at	
	Filed on	
	Court date	
	Court time	
ACKNOWLEDGMENT OF SERVICE (DIVORCE)
Part A	The applicant
1.	Name	Family name	     
Given names	     	
Part B	Details of service	
2.	Person served
(respondent)	Family name	     
Given names	     	
3.	Date documents served	     /      /     	
4.	What documents were served?		Application for Divorce
	Marriage, Families & Separation brochure
	Other (give details):	     	

Part C	Signing	
I acknowledge service of the documents named in question 4 above.	
Signature	Date	   /    /     	
OR
I am the lawyer for the person served. On behalf of my client, I acknowledge service of the documents named in question 4 above.	
Lawyer’s signature	Date	   /    /     	
Name of lawyer (print name):	     	
Lawyer’s code:	     	
Address of lawyer:	     	
ANNEXURE NOTE — Witness to complete only if this form is attached to an affidavit.
This Acknowledgment of Service (Divorce) is referred to in the affidavit of (name):      
Sworn/affirmed at (place):	     
On (date):	     
Before me (witness to sign):
 Lawyer	 Justice of the Peace	 Authorised Staff Member of the Court
 Other (specify):      	
0921V1