Free Proof of Service - Hawaii

STATE OF HAWAI`I FAMILY COURT THIRD CIRCUIT

PROOF OF SERVICE

CASE NUMBER

FC-D NO.

This document is prepared by u Plaintiff u Attorney for Plaintiff PLAINTIFF (Full Name) VS. _________________________________________________
Name

_________________________________________________ _________________________________________________
Address

_________________________________________________ DEFENDANT (Full Name)
City, State, Zip

_________________________________________________
Phone

I served a certified copy of each document identified below by delivering to the following person(s):
PERSON(S) SERVED DATE TIME PLACE

DOCUMENTS SERVED

u Complaint u Summons u Notice to Attend u Motion and Affidavit for u Motion and Affidavit for u ___________________________________________
PLEASE EXPEDITE RETURN OF SERVICE TO FAMILY COURT
DATE POLICE OFFICER'S SIGNATURE BADGE ID NUMBER

DATE

OTHER SERVING OFFICER'S SIGNATURE

NAME OF SERVING OFFICER

u UNSERVED DOCUMENTS: I certify that, despite due and diligent search, I was unable to locate the person to be served, and therefore the attached documents are being returned as unserved.

FORM NO. 073918 REPROGRAPHICS (6/08)

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PROOF OF SERVICE 3F-P-267