Va. Code § 20-105
Any orders of publication under the provisions of § 20-104 may be substantially in the form following:
Virginia: In the _______________ Court of _______________,
__________, 20_____
(Here set forth Style of Cause)
The object of this suit is to obtain (an annulment of marriage) (a divorce from bed and board) (a divorce from the bond of matrimony) from the defendant on the ground of _______________,
(here set forth grounds)
________________________________________
(here set forth other relief prayed for, if any)
________________________________________
(here set forth the styles and objects of the suits for divorce or annulment combined)
It appearing from an affidavit (that the defendant(s) is not a resident (are not residents) of this Commonwealth,) (or) (that diligence has been used by or on behalf of plaintiff(s) to ascertain in what county or city the defendant(s) is (are), without effect,) it is ordered that the defendant appear before this court (within ten days after due publication of this notice) (before _______________, 20_____) and protect (his) (her) (their) interests herein.
An Extract-Teste:
_______________ p.q.
______________________________ (Clerk)
Va. Code § 20-105