N.Y. Comp. Codes R. & Regs. tit. 22, § 210.6
(b) The following form shall be used in actions pursuant to UCCA 902(a)(1), where a formal complaint is not served:
__ COURT OF THE CITY OF __
COUNTY OF
Plaintiff, ) Index No. .....
) SUMMONS
-against- ) Plaintiff' s Residence
) Address:
Defendant. )
To the above named defendant:
YOU ARE HEREBY SUMMONED and required to appear in the __Court of the City of, __ located at __, in said City, County of __, State of New York, either (i) by serving an answer * within 10 days after service of this summons upon you, exclusive of the day of service, upon plaintiff's attorney, at the address stated below, or if there is no attorney, upon the plaintiff at the address stated above, or (ii) by appearing at the clerk's office within 10 days after service of this summons upon you, exclusive of the day of service, by having the clerk of the court endorse your answer upon this summons; upon your failure to answer, judgment will be taken against you for the sum of $_ with interest thereon from the _ day of __, 19 , together with the costs of this action.
Dated: the _ day of __, 19
Statement of the nature and Attorney(s) for Plaintiff
substance of plaintiff's Post-office Address
cause of action: Telephone Number
(or, alternatively
Clerk of the Court
of the City of )
______
*You need not physically go to the court to serve an answer under option (i).
(c) In a case where a formal complaint is annexed to the summons, the following form of summons, with all blank spaces appropriately filled in, is to be used:
COURT OF THE CITY OF
COUNTY OF
Index No. _
Plaintiff, )
) SUMMONS
-against- ) Plaintiff's Residence
) Address:
Defendant. )
______________
To the above named defendant:
YOU ARE HEREBY SUMMONED and required to appear in the __Court of the City of __, located at __, in said City, County of __, State of New York, by serving an answer * to the annexed complaint upon plaintiff' s attorney at the address stated below, or if there is no attorney, upon the plaintiff at the address stated above, within the time provided by law as noted below; upon your failure to so answer, judgment will be taken against you for the relief demanded in the complaint, together with the costs of this action.
Dated: the _ day of __, 19
______________
Attorney(s) for Plaintiff
Post-office Address
Telephone Number
Note: The law provides that:
(2) if this summons is served by delivery to any person other than you personally, or is served outside the County of __, or by publication, or by any means other than personal delivery to you within the County of __, you are allowed 30 days after service is complete within which to answer.
______
*You need not physically go to the court to serve an answer.