Tell the court that the other party received a summons or other legal papers in a civil case that were delivered to (served on) that party. Scheduling End Date.Checked Out To. Version. The completed form will be kept in the record for two years. Learn what an acknowledgement receipt is and how to create one for your business (with a template and two examples). I have received the following items at the start of service with this provider. This requires your spouse to sign a document acknowledging service of the divorce papers. For more information on becoming a member of USA North 811, fill out the form below!! If Yes, can you provide a copy for your Medical Record? Yes. No. NA. Sacramento County Substance Use Treatment Services Provider Directory.