Cal. Code Regs. tit. 10 § 2623.9
I, ____________________ hereby declare:
I am over the age of 18 and not a party to this action. My business address is ____________________.
On ____________________ (date) ____________________, I served a true and correct copy of the following document(s):
(list names of documents served)
_
to all parties in this action by depositing in the United States mail, with proper postage prepaid, a sealed envelope containing a true copy of the above-named document(s), addressed to the last known address of each addressee as reflected on the attached service list.
I declare under penalty of perjury under California law that the foregoing is true and correct.
Executed on ____________________ (date) ____________________ at ____________________ (name of city), California.
DATED:
Respectfully Submitted,
____________________
Signature
Cal. Code Regs. Tit. 10, § 2623.9
Note: Authority cited: Sections 1861.10, 12921 and 12926, Insurance Code. Reference: Sections 1861.05(b) and (c), 1861.08 and 1861.10(a), (b), Insurance Code; and CalFarm Insurance Company, et al. v. George Deukmejian, et al., 48 Cal.3d 805 (1989).