Field 1: Fill in the county in which the action is brought. Be consistent with other forms.Forms ; Complaint Verification. PDF ; Summons with Notice. Services include witnessing the signing of important documents, taking affidavits and depositions and giving oaths. Depending on the nature of the complaint, the matter may need to be reported to the District Attorney, State Attorney General or other appropriate entity. NOTICE: This is a public document, which means the document as submitted will be available to the public upon request. These forms are provided as a courtesy, and may be used for any lawful purpose. These forms were developed for use in Wayne Superior Court No. 3. Write in the date you complete the form and sign your name. 3.