Nationwide Roster

Server Full Name *
Server Full Name
Company Name *
Company Name
Tax ID Number *
Tax ID Number
Type Your Address County - State

Example: PULASKI - ARKANSAS
*
Type Your Address County - State

Example: PULASKI - ARKANSAS
Street Address *
Street Address
City *
City
What COUNTY is your address located in? *
What COUNTY is your address located in?
State *
State
Zip Code *
Zip Code
Office Phone (area code) *
Office Phone (area code)
Cell Phone (area code) *
Cell Phone (area code)
Routine Rate (please list your normal routine rate, we want to be able to depend on this quote for a long period of time) so please do not list LESS than your normal routine rate. *
Routine Rate (please list your normal routine rate, we want to be able to depend on this quote for a long period of time) so please do not list LESS than your normal routine rate.
Routine Turnaround Time (please list your normal routine turnaround time, we want to be able to depend on this turnaround time for a long period of time) so please do not list a faster turnaround than your normal turnaround time. *
Routine Turnaround Time (please list your normal routine turnaround time, we want to be able to depend on this turn around time for a long period of time) so please do not list a faster turnaround than your normal turnaround time.
Rush Rate (please list your normal rush rate, we want to be able to depend on this quote for a long period of time) so please do not list LESS than your normal rush rate. *
Rush Rate (please list your normal rush rate, we want to be able to depend on this quote for a long period of time) so please do not list LESS than your normal rush rate.
Rush Turnaround Time (please list your normal rush turnaround time, we want to be able to depend on this turnaround time for a long period of time) so please do not list a faster turnaround than your normal rush turnaround time. *
Rush Turnaround Time (please list your normal rush turnaround time, we want to be able to depend on this turnaround time for a long period of time) so please do not list a faster turnaround than your normal rush turnaround time.
Multiple Order Discount Rate? *
We often have 2 PLUS and prefer a Multiple Order Discount when all orders can be substitute served on the first contact.
Number of Attempts (Minimum 5 Preferred) *
Number of Attempts (Minimum 5 Preferred)
Does this rate include (2) addresses in same county *
Does this rate include (2) addresses in same county
Our policy is to pay upon receipt and approval of the original Affidavit. Do you agree to these terms? (preferred)? *
Our policy is to pay upon receipt and approval of the original Affidavit. Do you agree to these terms? (preferred)?
Can we email order to you? *
Can we email order to you?
Email Address (for orders) *
Email Address (for orders)
Do you charge print fees, if yes after how many pages and amount? *
Do you charge print fees, if yes after how many pages and amount?
List ALL Counties covered (including Home County), if you have a different ROUTINE rate for other counties please list COUNTY and ROUTINE RATE like example below.

NOTE: This is the field we look at when selecting a server and we select all servers by COUNTY.

Example (No $ Needed): Pulaski 50.00 Lonoke 45.00 Jefferson 30.00 Madison 60.00 Johnson 50.00
*
List ALL Counties covered (including Home County), if you have a different ROUTINE rate for other counties please list COUNTY and ROUTINE RATE like example below.

NOTE: This is the field we look at when selecting a server and we select all servers by COUNTY.

Example (No $ Needed): Pulaski 50.00 Lonoke 45.00 Jefferson 30.00 Madison 60.00 Johnson 50.00
Additional Informaton *
Additional Informaton
Completed By (name) *
Completed By (name)
Completed By (title) *
Completed By (title)
Date Completed *
Date Completed
Contact Email Address *
Contact Email Address
Upload License, Orders or Credentials
Upload License, Orders or Credentials
Acknowledgement: I hereby guarantee that all process servers in my employ have been through a thorough background check including a nationwide check for felony convictions and no such convictions have been found. I further guarantee that my business uses only court appointed or licensed Process Servers where applicable. If a Court Appointment or License is not required for Process Servers in the state or county where this service will be made, I personally guarantee that the Process Server meets all state and/or county requirements and is currently eligible to serve process in the county where service is to be made. I further understand and agree that if any litigation should arise in connection with the service I provide on behalf of Action Process Service, my business and I are both guarantors of Action Process Service with regard to the service(s) my business and I have provided. In regard to my business relationship with Action Process Service & Private Investigations, LLC, I serve process as an Independent Contractor. I am not and never have been an employee of Action Process Service and Private Investigations, LLC and the Federal Fair Labor Standards Act (FLSA), the Arkansas Minimum Wage Acts (AMWA) and/or my states Minimum Wage Act do not apply now and have never applied to me. I have never served papers for Action Process Service & Private Investigations, LLC on an exclusive basis; I have other clients that I serve for on a regular basis. I understand I will receive a 1099 for all work completed where applicable. Therefore, I agree to hold Action Process Service & Private Investigations, LLC harmless from any claims or violations, known or unknown, past, present or future of the Arkansas Minimum Wage Act (AMWA), my states Minimum Wage Act or the Federal Fair Labor Standards Act (FLSA). *
Acknowledgement