Form 6b "Affidavit of Service Sworn/Affirmed" - Ontario, Canada

Form 6b or the "Affidavit Of Service Sworn/affirmed" is a form issued by the Ontario Court of Justice.

The form was last revised in April 1, 2016 and is available for digital filing. Download an up-to-date fillable Form 6b in PDF-format down below or look it up on the Ontario Court of Justice Forms website.

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Download Form 6b "Affidavit of Service Sworn/Affirmed" - Ontario, Canada

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ONTARIO
Court File Number
(Name of court)
Form 6B: Affidavit of Service
at
sworn/affirmed
Court office address
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
My name is
(full legal name)
I live in
(municipality & province)
and I swear/affirm that the following is true:
1. On
, at
, I served
(date)
(time)
(name of person to be served)
with the following document(s) in this case:
Date when document signed, issued,
Name of document
Author (if applicable)
sworn, etc.
List the
documents
served
NOTE:
You can leave out any part of this form that is not applicable.
2. I served the documents mentioned in paragraph 1 by:
special service.
(Go to paragraph 3 below if you used special service.)
mail.
(Go to paragraph 4 if you used mailed service.)
Check one
box only and
same day courier
. (Go to paragraph 5 if you used courier.)
go to
next day courier
. (Go to paragraph 5 if you used courier.)
indicated
paragraph.
deposit at a document exchange.
(Go to paragraph 6 if you used a document exchange.)
an electronic document exchange.
(Go to paragraph 7 if you used an electronic document exchange.)
fax.
(Go to paragraph 8 if you used fax.)
email.
(Go to paragraph 9 if you used email.)
substituted service or advertisement.
(Go to paragraph 10 if you used substituted service or advertisement.)
Page 1 of 3
FLR-6B-E (2016/04)
ONTARIO
Court File Number
(Name of court)
Form 6B: Affidavit of Service
at
sworn/affirmed
Court office address
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
My name is
(full legal name)
I live in
(municipality & province)
and I swear/affirm that the following is true:
1. On
, at
, I served
(date)
(time)
(name of person to be served)
with the following document(s) in this case:
Date when document signed, issued,
Name of document
Author (if applicable)
sworn, etc.
List the
documents
served
NOTE:
You can leave out any part of this form that is not applicable.
2. I served the documents mentioned in paragraph 1 by:
special service.
(Go to paragraph 3 below if you used special service.)
mail.
(Go to paragraph 4 if you used mailed service.)
Check one
box only and
same day courier
. (Go to paragraph 5 if you used courier.)
go to
next day courier
. (Go to paragraph 5 if you used courier.)
indicated
paragraph.
deposit at a document exchange.
(Go to paragraph 6 if you used a document exchange.)
an electronic document exchange.
(Go to paragraph 7 if you used an electronic document exchange.)
fax.
(Go to paragraph 8 if you used fax.)
email.
(Go to paragraph 9 if you used email.)
substituted service or advertisement.
(Go to paragraph 10 if you used substituted service or advertisement.)
Page 1 of 3
FLR-6B-E (2016/04)
Form 6B:
Affidavit of Service
(page 2)
Court File Number
sworn/affirmed
3. I carried out special service of the document(s) on the person named in paragraph 1 at
(place or address)
leaving a copy with the person.
by:
leaving a copy with
(name)
who is a lawyer who accepted service in writing on a copy of the document.
Check one
box only.
who is the person’s lawyer of record.
Strike out
paragraphs 4
who is the
(office or position)
to 10 and go
of the corporation named in paragraph 1.
to paragraph
11.
mailing a copy to the person together with a prepaid return postcard in Form 6 in an envelope bearing the
sender’s return address. This postcard, in which receipt of the document(s) is acknowledged, was returned and
is attached to this affidavit.
leaving a copy in a sealed envelope addressed to the person at the person’s place of residence with
(name)
who provided me with identification to show that he/she was an adult person residing at the same address and
by mailing another copy of the same document(s) on the same or following day to the person named in
paragraph 1 at that place of residence.
other
(Specify. See rule 6 for details.)
4. I mailed the document(s) to be served by addressing the covering envelope to the person named in paragraph 1 at:
(Set out address.)
of the person’s place of business.
which is the address
of a lawyer who accepted service on the person’s behalf.
of the person’s lawyer of record.
Check appropriate
paragraph and strike
of the person’s home.
out paragraphs 3, 5, 6,
7, 8, 9 and 10.
on the document most recently filed in court by the person.
other
(Specify.)
5. The document(s) to be served was/were placed in an envelope that was picked up at
on
a.m./p.m.
by
(date)
(name of courier service)
a private courier service, a copy of whose receipt is attached to this affidavit. The envelope was addressed to the person
named in paragraph 1 at:
(Set out address.)
of the person’s place of business.
which is the address
of a lawyer who accepted service on the person’s behalf.
of the person’s lawyer of record.
Check appropriate
paragraph and strike
of the person’s home.
out paragraphs 3, 4, 6,
7, 8, 9 and 10.
on the document most recently filed in court by the person.
other
(Specify.)
FLR-6B-E (2016/04)
Page 2 of 3
Form 6B:
Affidavit of Service
(page 3)
Court File Number
sworn/affirmed
6. The document(s) was/were deposited at a document exchange. The exchange’s date stamp on the attached copy shows the
date of deposit.
(Strike out paragraphs 3, 4, 5, 7, 8, 9, 10 and 13.)
7. The documents were served through an electronic document exchange. The record of service from the exchange is attached
to this affidavit.
(Strike out paragraphs 3, 4, 5, 6, 8, 9, 10 and 13.)
8. The document(s) to be served was/were faxed. The fax confirmation is attached to this affidavit.
(Strike out paragraphs 3, 4, 5,
6, 7, 9, 10 and 13.)
9. The documents were served by email. Attached to this Affidavit is a copy of the email that the document was attached to.
(Strike out paragraphs 3, 4, 5, 6, 7, 8, 10 and 13.)
10. An order of this court made on
allowed
(date)
substituted service.
service by advertisement.
(Attach advertisement.)
The order was carried out as follows:
(Give details. Then go to paragraph 13 if you had to travel to serve substitutionally or by
advertisement.)
11. My relationship to, or affiliation with, any party in this case is as follows:
12. I am at least 18 years of age.
13. To serve the document(s), I had to travel
kilometres. My fee for service of the document(s) is
$
including travel.
Sworn/Affirmed before me at
municipality
in
province, state or country
Signature
on
(This form is to be signed in front of a
lawyer, justice of the peace, notary public
date
Commissioner for taking affidavits
or commissioner for taking affidavits.)
(Type or print name below if signature is illegible.)
Save Form
Print Form
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FLR-6B-E (2016/04)
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