© 2016 Family Law Self-Help Center Receipt of Copy
ROC
Name:
Address:
Telephone:
Email Address:
In Proper Person
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
RECEIPT OF COPY
RECEIPT OF COPY of the following documents (name of documents served):
_____________________________________________________________________________
is acknowledged this (day) ______ day of (month) _____________________, (year) 20_______.
(Other party’s/attorney’s signature) _______________________________
(Other party’s/attorney’s printed name) _______________________________