If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Form N210 B is called an ‘acknowledgment of service’. The court will send this form to a defendant with the claim.
Read the notes on the second page of the form before filling it in.