ANNEX ISupplementary provisions
ANNEX I Text of image REQUEST FOR SERVICE OF DOCUMENTS (Article 4(3) of Regulation (EC) No 1393/2007 of the European Parliament and of the Council of 13 November 2007 on the service in the Member States of judicial and extrajudicial documents in civil or commercial matters (1)) Reference No: … 1. TRANSMITTING AGENCY 1.1. identity 1.2. address 1.2.1. street and number/PO box 1.2.2. place and post code 1.2.3. country 1.3. tel. 1.4. fax (*) 1.5. e-mail (*) 2. RECEIVING AGENCY 2.1. identity 2.2. address 2.2.1. street and number/PO box 2.2.2. place and post code 2.2.3. country 2.3. tel. 2.4. fax (*) 2.5. e-mail (*) 3. APPLICANT 3.1. identity 3.2. address 3.2.1. street and number/PO box 3.2.2. place and post code 3.2.3. country 3.3. tel. (*) 3.4. fax (*) 3.5. e-mail (*) (1) OJ L 324, 10.12.2007, p. 79. (*) This item is optional. Text of image 4. ADDRESSEE 4.1. identity 4.2. address 4.2.1. street and number/PO box 4.2.2. place and post code 4.2.3. country 4.3. tel. (*) 4.4. fax (*) 4.5. e-mail (*) 4.6. identification number/social security number/organisation number/or equivalent (*) 5. METHOD OF SERVICE 5.1. in accordance with the law of the Member State addressed 5.2. by the following particular method 5.2.1. if this method is incompatible with the law of the Member State addressed, the document(s) should be served in accordance with the law of that Member State. 5.2.1.1. yes 5.2.1.2. no 6. DOCUMENT TO BE SERVED 6.1. nature of the document 6.1.1. judicial 6.1.1.1. writ of summons 6.1.1.2. judgment 6.1.1.3. appeal 6.1.1.4. other 6.1.2. extrajudicial 6.2. date or time limit after which service is no longer required (*) … (day) … (month) … (year) 6.3. language of document 6.3.1. original (BG, ES, CS, DE, ET, EL, EN, FR, GA, IT, LV, LT, HU, MT, NL, PL, PT, RO, SK, SL, FI, SV, other): 6.3.2. translation (*) (BG, ES, CS, DE, ET, EL, EN, FR, GA, IT, LV, LT, HU, MT, NL, PL, PT, RO, SK, SL, FI, SV, other): 6.4. number of enclosures 7. A COPY OF DOCUMENT TO BE RETURNED WITH THE CERTIFICATE OF SERVICE (Article 4(5) of Regulation (EC) No 1393/2007) 7.1. yes (in this case send two copies of the document to be served) 7.2. no (*) This item is optional. Text of image 1. You are required by Article 7(2) of Regulation (EC) No 1393/2007 to take all necessary steps to effect the service of the document as soon as possible, and in any event within one month of receipt. If it has not been possible for you to effect service within one month of receipt, you must inform this agency by indicating this in point 13 of the certificate of service or non-service of documents. 2. If you cannot fulfil this request for service on the basis of the information or documents transmitted, you are required by Article 6(2) of Regulation (EC) No 1393/2007 to contact this agency by the swiftest possible means in order to secure the missing information or document. Done at … Date … Signature and/or stamp … Text of image Reference No of the transmitting agency … Reference No of the receiving agency … ACKNOWLEDGEMENT OF RECEIPT (Article 6(1) of Regulation (EC) No 1393/2007 of the European Parliament and of the Council of 13 November 2007 on the service in the Member States of judicial and extrajudicial documents in civil or commercial matters) This acknowledgement must be sent by the swiftest possible means of transmission as soon as possible after receipt of the document and in any event within seven days of receipt. 8. DATE OF RECEIPT Done at … Date … Signature and/or stamp … Text of image Reference No of the transmitting agency … Reference No of the receiving agency … NOTICE OF RETURN OF REQUEST AND DOCUMENT (Article 6(3) of Regulation (EC) No 1393/2007 of the European Parliament and of the Council of 13 November 2007 on the service in the Member States of judicial and extrajudicial documents in civil or commercial matters (1)) The request and document must be returned on receipt. 9. REASON FOR RETURN 9.1. the request is manifestly outside the scope of the Regulation 9.1.1. the document is not civil or commercial 9.1.2. the service is not from one Member State to another Member State 9.2. non-compliance with the formal conditions required makes service impossible 9.2.1. the document is not easily legible 9.2.2. the language used to complete the form is incorrect 9.2.3. the document received is not a true and faithful copy 9.2.4. other (please give details) 9.3. the method of service is incompatible with the law of the Member State addressed (Article 7(1) of Regulation (EC) No 1393/2007) Done at … Date … Signature and/or stamp … (1) OJ L 324, 10.12.2007, p. 79. Text of image Reference No of the transmitting agency: … Reference No of the receiving agency: … NOTICE OF RETRANSMISSION OF REQUEST AND DOCUMENT TO THE APPROPRIATE RECEIVING AGENCY (Article 6(4) of Regulation (EC) No 1393/2007 of the European Parliament and of the Council of 13 November 2007 on the service in the Member States of judicial and extrajudicial documents in civil or commercial matters (1)) The request and document were forwarded to the following receiving agency, which has territorial jurisdiction to serve it: 10. APPROPRIATE RECEIVING AGENCY 10.1. identity 10.2. address 10.2.1. street and number/PO box 10.2.2. place and post code 10.2.3. country 10.3. tel. 10.4. fax (*) 10.5. e-mail (*) Done at … Date … Signature and/or stamp … (1) OJ L 324, 10.12.2007, p. 79. (*) This item is optional. Text of image Reference No of the transmitting agency: … Reference No of the appropriate receiving agency: … NOTICE OF RECEIPT BY THE APPROPRIATE RECEIVING AGENCY HAVING TERRITORIAL JURISDICTION TO THE TRANSMITTING AGENCY (Article 6(4) of Regulation (EC) No 1393/2007 of the European Parliament and of the Council of 13 November 2007 on the service in the Member States of judicial and extrajudicial documents in civil or commercial matters (1)) This notice must be sent by the swiftest possible means of transmission as soon as possible after receipt of the document and in any event within seven days of receipt. 11. DATE OF RECEIPT Done at … Date … Signature and/or stamp … (1) OJ L 324, 10.12.2007, p. 79. Text of image Reference No of the transmitting agency … Reference No of the receiving agency … CERTIFICATE OF SERVICE OR NON-SERVICE OF DOCUMENTS (Article 10 of Regulation (EC) No 1393/2007 of the European Parliament and of the Council of 13 November 2007 on the service in the Member States of judicial and extrajudicial documents in civil or commercial matters (1)) The service shall be effected as soon as possible. If it has not been possible to effect service within one month of receipt, the receiving agency shall inform the transmitting agency (Article 7(2) of Regulation (EC) No 1393/2007) 12. COMPLETION OF SERVICE 12.1. date and address of service 12.2. the document was 12.2.1. served in accordance with the law of the Member State addressed, namely 12.2.1.1. handed to 12.2.1.1.1. the addressee in person 12.2.1.1.2. another person 12.2.1.1.2.1. name 12.2.1.1.2.2. address 12.2.1.1.2.2.1. street and number/PO box 12.2.1.1.2.2.2. place and post code 12.2.1.1.2.2.3. country 12.2.1.1.2.3. relation to the addressee family … employee … other … 12.2.1.1.3. the addressee’s address 12.2.1.2. served by postal services 12.2.1.2.1. without acknowledgement of receipt 12.2.1.2.2. with the enclosed acknowledgement of receipt 12.2.1.2.2.1. from the addressee 12.2.1.2.2.2. from another person 12.2.1.2.2.2.1. name 12.2.1.2.2.2.2. address 12.2.1.2.2.2.2.1. street and number/PO box 12.2.1.2.2.2.2.2. place and post code 12.2.1.2.2.2.2.3. country 12.2.1.2.2.2.3. relation to the addressee family … employee … other … (1) OJ L 324, 10.12.2007, p. 79. Text of image 12.2.1.3. served by another method (please state how) 12.2.2. served by the following particular method (please state how) 12.3. The addressee of the document was informed in writing that he may refuse to accept the document if it is not written in or accompanied by a translation into either a language which he understands or the official language or one of the official languages of the place of service. 13. INFORMATION IN ACCORDANCE WITH ARTICLE 7(2) of Regulation (EC) No 1393/2007 It was not possible to effect service within one month of receipt. 14. REFUSAL OF DOCUMENT The addressee refused to accept the document on account of the language used. The document is annexed to this certificate. 15. REASON FOR NON-SERVICE OF DOCUMENT 15.1. address unknown 15.2. addressee cannot be located 15.3. document could not be served before the date or time limit stated in point 6.2. 15.4. other (please specify) The document is annexed to this certificate. Done at … Date … Signature and/or stamp …