Code of Civil Procedure Article 141
The person effecting service shall make a service report, indicating the following matters and signing thereon: 1. The court ordering service;2. The person to be served;3. The paper to be served;4. The place, hour, and date of service; and5. The means of service.The service report shall be signed, or impressed by seal or fingerprints of the person receiving service. If he/she refuses or is unable to do so, the person effecting service shall make a note of this fact.Where the person receiving service is not the person to be served himself/herself, the person effecting service shall make a note of such person's name.The service report shall be submitted to the court and included in the dossier.
中文原文 民事訴訟法第141條
送達人應作送達證書，記載下列各款事項並簽名：
一、交送達之法院。
二、應受送達人。
三、應送達之文書。
四、送達處所及年、月、日、時。
五、送達方法。
送達證書，應於作就後交收領人簽名、蓋章或按指印；如拒絕或不能簽名、蓋章或按指印者，送達人應記明其事由。
收領人非應受送達人本人者，應由送達人記明其姓名。
送達證書，應提出於法院附卷。
一、交送達之法院。
二、應受送達人。
三、應送達之文書。
四、送達處所及年、月、日、時。
五、送達方法。
送達證書，應於作就後交收領人簽名、蓋章或按指印；如拒絕或不能簽名、蓋章或按指印者，送達人應記明其事由。
收領人非應受送達人本人者，應由送達人記明其姓名。
送達證書，應提出於法院附卷。