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Waiver of the Service of Summons. Download Form (pdf, 262.You sign and return the enclosed waiver of service in order to save the cost of serving you with a judicial summons and an additional copy of the complaint. This request must be made in writing and accompany the summons from the original complaint. Service is "the formal delivery of a writ, summons, or other legal process or notice" according to Black's Law Dictionary. (f) Waiver of Service of Summons. In the Circuit Court of the. Under Federal Rule of Civil Procedure 4, if you refuse to waive service, you are responsible for the cost of service. Civil Action No. Defendant. Use black ink and write clearly.