Make sure you sign the "Verification" (on the last page of the Com plaint) and the. You may complete the online form and an Ombudsman can assist you with completing the US Department of Health and Human Services required forms.Also fill out the certificate of service with the date on which you intend to mail a copy to the opposing side and sign it. The certificate of service is. Field 1: Fill in the county in which the action is brought. Be consistent with other forms. This guide explains the basic steps and practice tips in filing a civil lawsuit in North. Carolina state court. A fter you fill out the following form s: 1. The proof that you have been separated for 366 days is your sworn statement in the Complaint.