Summons in a Civil Action

UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF KENTUCKY

Plaintiff Name:
Type the full name of the plaintiff (you) who is filing this summons.


Plaintiff Name and Address:
Type the full name and address (including city, state, and ZIP) of the plaintiff (you).


Defendant Name:
Type the full name of the defendant to be served this summons.


Defendant Name and Address:
Type the full name and address (including city, state, and ZIP) of the defendant.


Warning: Once you hit “Submit,” you will not be able to go back and make changes. Please review each page one last time before submitting.