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UNITED STATES DISTRICT COURT

[courtDistrict], [courtDivision]

[plfName]	)	Case No (LT)
Petitioner	)	[caseNo]
)
v.	)
)
[defName]	)
Respondent	)

JOINT AGREEMENT FOR THE WAIVER OF SERVICE ON NON-PARTY [empName] (AN EMPLOYEE OF DEFENDANT)

Pursuant to Rule 1 Fed. R. Civ. P., the parties agree to waive service of process on the following individual (who is not a party to this action, but is an employee of Defendant):

[empNm]

Plaintiff will send his subpoena to Defendant’s trial counsel, who will then deliver it to the individual (accord Appendix A).

Dated this [d] day of [MMM] [YYYY].

/s/ [plfName]
[defAtt], Esquire ([barNum]) E: [defEml] P: [defPhn] (defendant’s trial lawyers)	[plfName], Plaintiff [plfAddy] P: [plfPhn] E: [plfEml] W: TextBookDiscrimination.com Get Booked Up on Justice!

APPENDIX

[RETURN OF SERVICE]

AFFIDAVIT OF SERVICE

Court:	US District Court, [courtDistrict]
Case No.:	[caseNo]
Plaintiff:	[plfName]
Defendant:	[defName]
Date Delivered:	[enter delivery date]

I received this subpoena for [empName] on [enter date received].

Description of Individual

Gender:
Race:
Hair Color:
Age Range:
Height:
Weight:
Eyeglasses:
Other Features:

This individual is one of Defendant’s employees.

I delivered a true copy of this subpoena via .

The date of delivery was [enter date received].

Plaintiff and Defendant previously agreed to this form of service.

I declare under penalty of perjury that this information is true.

[place signature]
Date	[enter full name] [enter street address] [city, state, zip] [enter phone number] [enter email address]

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