Certificate of Last Known Mailing Address

This form is used to officially state the last known mailing and email addresses for another person involved in a case. It requires the person filing the form to sign and provide their own contact information.

The court describes it as: Use this form when you file a lawsuit and need to certify the other party’s last-known mailing address.

Common questions

What is this form for?

This form is a Certificate of Last Known Mailing Address that lets you certify the last known mailing and email addresses for another person in a case.

Who fills out this form?

The person who is the Petitioner in the case fills out this form.

Does this form require a fee?

The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026.

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