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Waiver of the Service of Summons. Download Form (pdf, 262.This request must be made in writing and accompany the summons from the original complaint. If the defendant does not waive service, the plaintiff(s) must proceed with service of the summons and complaint. Under Federal Rule of Civil Procedure 4, if you refuse to waive service, you are responsible for the cost of service. Notice of a Lawsuit and Request to Waive Service of Summons. Fill out this entire form. Civil Action No. Defendant. I,. , Counsel for Defendant(s) or. (f) Waiver of Service of Summons.