Form 49.70 
 
Form of certificate of delivery of documents to chief constable 

 [Place and date], I (name of agent), hereby certify that on the   day of    I duly delivered to (name and address) chief constable of (name of constabulary) (insert details of the documents delivered).  This I did by (state method of delivery). 

 (Signed) 
 
 [or Solicitor] [or Agent] for pursuer 
 [or as the case may be]] 
 
 (Address)