Certified Process Server APPLICANT CHECKLIST

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1 Certified Process Server APPLICANT CHECKLIST THE TWENTIETH JUDICIAL CIRCUIT OF FLORIDA The Twentieth Judicial Circuit Court is implementing a few changes to the requirements to qualify for certification. This will be required annually. 1. How To Obtain An Application a. You may obtain an application online at b. You may obtain an application at the Office of Court Innovations and Program Analysis 2000 Main Street, Suite 304, Fort Myers, FL c. You may pickup an application at the Lee County Sheriff s Office Human Resources Division Six Mile Cypress Parkway, Fort Myers, FL 2. $ CHECK or MONEY ORDER application fee, made payable to LCSO. CASH IS NOT ACCEPTED. 3. Proof of successful completion of an approved process server education class in Service of Non- Enforceable Judicial Process Training. Lorenzo Walker Institute of Technology 3702 Estey Avenue Naples, FL Voice (239) Southeastern Public Safety Institute St. Petersburg College P.O. Box St. Petersburg, FL Voice (727) Fax (727) Original bond in the amount of $5, with a surety company authorized to do business in this State bound onto the 20 th Judicial Circuit or Original Continuation Certificate, if renewed. 5. Valid FL Drivers License. 6. Social Security Card. 7. Agree to submit to a complete background check; including a criminal background history and drug screening. NOTE: You Must Sign and Notarize, All Documents in the Presence of a Lee County Sheriff s Office Human Resources Assistant. INCOMPLETE Application Packages will not be accepted without approval. You must Call to Schedule An Appointment (no walk-ins) Lee County Sheriff s Office Human Resources Division Six Mile Cypress Parkway, Fort Myers, FL, 33912, (239) Submit completed application Photo taken Fingerprinting Drug screening

2 THE TWENTIETH JUDICIAL CIRCUIT OF FLORIDA Certified Process Server APPLICATION PLEASE TYPE OR PRINT CLEARLY DATE SUBMITTED: NEW - OR- RENEWAL PERSONAL INFORMATION Full Name: Last First Middle Social Security Number: Sex: M F Date of Birth / _/ HOME ADDRESS Home Address (No Post Office Box): City State Zip Mailing Address, (if different): City State Zip Phone Number: ( ) Cell Phone: ( ) Address: EMPLOYER ADDRESS (PLEASE PROVIDE NAME OF SERVER AGENCY, IF APPLICABLE) Employer Name: Are you Self Employed?: Yes No Business Address (No Post Office Box): City State Zip Mailing Address, (if different): City State Zip Phone Number: ( ) Fax Number: ( ) Address / Website: PUBLIC ACCESS INFORMATION - FOR PUBLICATION ON CPSRB WEBSITE Name /Company: Mailing Address: City State Zip Phone Number: ( ) Fax Number: ( ) Address / Website What county(s) do you prefer to offer service? Charlotte Collier Glades Hendry Lee EMPLOYMENT HISTORY 1. Have you ever been employed by ANY Law Enforcement Agency? Yes No If yes, list the agency, address, phone number, position, and dates of employment.

3 Criminal History 1. Do you currently have any pending criminal actions? Yes No If YES, list the charge, agency, address, phone number, agency case number or court case number. 2. In the last 5 years, have you ever been convicted of a felony, including any convictions that may be sealed or expunged? Yes No If YES, detail the crime, disposition, and jurisdiction. If you have ever been convicted of any felony, please attach documentation showing civil rights restoration, if any. 3. In the last 5 years, have you ever been convicted of a misdemeanor, including any convictions that may be sealed or expunged? Yes No If YES, detail the crime, disposition, and jurisdiction. Are you presently on probation for any criminal offense? Yes No If YES, provide detail.

4 THE TWENTIETH JUDICIAL CIRCUIT OF FLORIDA I hereby affirm that this application is true and correct, and that all information provided for this appointment is true and correct. DATE: SIGNATURE OF APPLICANT NAME OF APPLICANT (PRINT) STATE OF FLORIDA COUNTY OF LEE Subscribed and sworn before me this day of, 20 by (Name of Applicant). He/She is personally know to me or has presented as identification. SIGNATURE OF NOTARY PRINTED NAME OF NOTARY Notary Public TITLE

5 Certified Process Server AGREEMENT THE TWENTIETH JUDICIAL CIRCUIT OF FLORIDA Effective January 1, 2011, all current Twentieth Judicial Circuit Certified Process Servers and all new Applicants for Certification as a Certified Process Server, in acceptance of their Certification acknowledges and agrees to the following rules, regulations, and conditions as set forth herein: 1. Shall pay a non-refundable annual application fee of $ Shall conform to an abide by the requirements of Florida Statutes, Chapter 48, as well as any other applicable laws, rules, and regulations that may apply. 3. Shall assert and consent that any Certification granted will be limited to the service of non-enforceable process and does not extend to enforceable process of any kind. 4. Upon Certification, a picture identification card with an expiration date will be issued by the Chief Judge of the Twentieth Judicial Circuit Court, which must be carried on your person at all times and displayed upon request while performing the duties of a Certified Process Server. If the identification card is lost, stolen, or misplaced, you shall report such loss in writing to the Twentieth Judicial Circuit Certified Process Server Review Board, hereinafter referred to as The Board, within 24 hours. The identification card is the property of the Twentieth Judicial Circuit Court and must be returned to The Board upon your departure. 5. Shall obtain a Bond in the amount of $5, with any Surety Company authorized to do business in the State of Florida. The Bond must be bound to the Twentieth Judicial Circuit Court and be effective from January 1 st through December 31 st for each year of your Certification. 6. Shall submit to a background investigation, which shall include but not be limited to, the review of any criminal record. 7. Shall submit to a drug test at the time of application and/or any sanctioned random drug testing program. 8. Shall charge only a reasonable fee for service. 9. Shall notify The Board in writing within 10 days of any change in mailing address, telephone number(s), address(s) or any other changes that affect your ability to be contacted. 10. Any Return or Affidavit of Service signed by you as the Process Server, knowing that the process was in fact served by someone else, will be considered a false Return or Affidavit of Service, punishable as provided for in Florida Statutes, Chapter Shall file a completed Return or Affidavit of Service pursuant to the requirements of Florida Statutes, Chapter 48.21, for every service that you make, but you must do so within the time frame during which the

6 person served must respond to the process. You must sign and print your name, along with your identification number, on each Return or Affidavit of Service. 12. All process served shall contain the date and time of service, your identification number and initials or signature, pursuant to Florida Statutes, Chapter (5). 13. If any signed complaints are received against you, you may be subject to Disciplinary Procedures as outlined in Administrative Order No. 1.11, or any superseding Orders. You have the right to participate in any disciplinary procedures as outlined in the Administrative Order. 14. Shall not serve any process in which you have an interest in the cause of action or are a direct employee of the law firm for whom the process is being served, and you shall not willfully or knowingly execute a false Return or Affidavit of Service, recognizing that a violation thereof may subject you to being charged with a third degree felony and permanently barred from serving process in the State of Florida, pursuant to Florida Statutes, Chapter 48.31(2). 15. Shall not violate the Oath of Office nor simulate or circulate process as prohibited by Florida Statutes, Chapter Shall hold harmless and indemnify the Twentieth Judicial Circuit Certified Process Server Review Board and its Members, the Twentieth Judicial Circuit Court and its Chief Judge, agents, appointees, and employees against any claims or judgments of any kind or nature whatsoever that may arise from or could be caused by any act or failure to act on your part. 17. Shall recognize that you represent the Twentieth Judicial Circuit Court and its Chief Judge, and you shall be courteous and professional while serving process. You shall not engage in any conduct, whether or not connected to the performance of your official duties, that may reflect negatively on the Twentieth Judicial Circuit Court or its Chief Judge. 18. Shall be familiar with the provisions of Florida Statutes, Chapter , prohibiting the use of certain lights, and Florida Statutes, Chapter , regulating the unlawful use of police badges or other indicia of authority. Your Certified Process Server identification card, while shown for identification purposes in the performance of your official duties, is exempt from this provision. 19. Shall attend a sanctioned 40-Hour Non-Enforceable Judicial Process Server Course, and a sanctioned 4-Hour Non-Enforceable Judicial Process Server Refresher Course annually thereafter, at your expense, and submit to a written examination testing your knowledge of the laws and rules regarding the service of process, with a passing grade of 70% or better. Failure to complete these courses with a passing grade of 70% or better will result in the denial of your Certification or renewal of Certification. 20. Shall notify The Board in writing within 72 hours or any arrest, and within 72 hours of the disposition thereof. You shall also notify The Board in writing within 72 hours of any civil lawsuit served upon you involving the performance of your official duties, and within 72 hours of the disposition thereof. 21. Shall notify The Board in writing within 24 hours of any conflict or dispute that required the involvement of a law enforcement officer while in the performance of your official duties.

7 22. Shall maintain a valid Florida Driver s License at all times. 23. All applications for Certification or renewal of Certification shall be submitted, between September 1 st through October 30 th of each year. If October 30 th falls on a non-business day, then the submittal day will be extended to the next business day. If an application for Certification or renewal of Certification is not submitted during this timeframe, the application will not be accepted. I understand and agree that this CERTIFIED PROCESS SERVER AGREEMENT is to be submitted, signed, and notarized, with my application and will become a permanent part of my application and file. DATE: SIGNATURE OF APPLICANT NAME OF APPLICANT (PRINT) STATE OF FLORIDA COUNTY OF LEE Subscribed and sworn before me this day of, 20 by (Name of Applicant). He/She is personally know to me or has presented as identification. SIGNATURE OF NOTARY PRINTED NAME OF NOTARY Notary Public TITLE

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