Skip to content
LitigationForms
PO 004

Proof of Service (RTS)

Washington · Washington State Courts · Effective January 1, 2026

This form is used to prove that certain court papers were officially given to the correct people in a case involving protection orders. It asks the person completing it to detail how and when the documents were served.

Open the official PDFfrom Washington State Courts

Where this fits in a case

Hearing

Stage: Hearing

This form is used after documents related to a protection order case have been served to show the court that the service was completed correctly.

Either party may file.

Common questions

Who fills out this form?
The form is filled out by the 'Server,' who must be a peace officer and not a party to the case. It is used by either party to prove service.
What kind of service can be proven?
The form allows the server to prove service through personal delivery, electronic means like email, service by mail, or if service was unsuccessful.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2026.

Related forms

  • PO 018

    Declaration

    This form is a Declaration, which is a written statement of facts. It asks the person signing it to state information under penalty of perjury.

    Word
  • PO 065

    Restrained Person's Notice of Hearing to Decide Adequate Cause

    This form is a notice that tells people about a hearing where the court will decide if there is enough reason to have a full hearing about a request to change or end a Protection Order. The court will not move forward with the request unless it finds adequate cause.

    Word5 translations
  • PO 090

    Post Hearing Information

    This form provides information about what happens after a hearing for a protection order. It explains the options for challenging the court's decision, how the order can be enforced, and who to contact for help.

    Fillable PDFWord6 translations
  • POi 004

    Instructions for Proof of Service

    This form is used to show the court that legal papers were correctly given to another person in a protection order case. Filing this form lets the court know the other person knows about the case so the court can make decisions.

    Fillable PDFWord6 translations
  • PORHA

    Remote Hearing Attachment

    This form provides instructions for attending a court hearing from a remote location. It gives tips on preparing for the virtual hearing, such as checking your internet and having your materials ready.

    Word
  • WS 102

    Declaration: No Weapons to Surrender

    This form is a declaration used to state that the person signing does not have any firearms, dangerous weapons, or concealed pistol licenses that the court has ordered them to surrender. It confirms understanding of court orders regarding weapons and the consequences of not following those orders.

    Word
  • WS 103

    Declaration of Protected Person about Weapons Surrender

    This form is a statement from the person who is protected by a court order. It tells the court what the person who was restrained has done regarding weapons surrender.

    Word
  • WS 105

    Declaration of Fifth Amendment Privilege

    This form is a declaration where a person states they are using their Fifth Amendment privilege against self-incrimination. It is used in response to an Order to Surrender and Prohibit Weapons.

    Word