Certificate of Service to Evidence Service of Prescribed Tenancy Deposit Information

This Form N215 Certificate of Service of Prescribed Information can be completed by a residential landlord when they have served on a Tenant the “prescribed information” relating to a tenancy deposit.  

The Certificate of Service should be kept in the landlord’s file with a copy of the Prescribed Particulars attached. The Certificate can be submitted to the Court as evidence of service if the Landlord subsequently applies to Court for a Possession Order following service of a Section 21 Notice.

The form should be completed as follows.

The “Name of court” and “Claim No.” fields can be left blank as no claim will have been started at the time the Certificate of Service is completed.

The “Claimant” is the Landlord and the “Defendant” is the Tenant.

In the “On what date did you serve?” field, insert the date the Prescribed Information was sent or handed over. “The date of service is” field is for the effective date of service which may be different. See the notes at the end of the Form and the notice provisions in the Tenancy Agreement.

There are fields for a description of the document served (in this case, the Prescribed Information relating to the Tenancy Deposit), and the person it was served on (the Tenant). The method of service needs to be ticked on the left hand side of the form. The service address should be inserted on the right hand side and the boxes checked to describe the address (e.g. the Defendant’s usual residence).

The form should be signed and dated at the bottom.

This Form N215 Certificate of Service of Prescribed Information template is in PDF format. Simply press TAB to jump from one field to the next and SHIFT + TAB to go back. Alternatively, use the mouse to click from one field to the next.

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