Defendant's Name ____________________________________ Address ____________________________________________ City, State, Zip Code __________________________________ Telephone No. _______________________________________
Choose One IN THE DISTRICT COURT OF THE ____________ CIRCUIT State of Hawai#i Choose One ________________ DIVISION
STATE OF HAWAI`I, ) ) vs. ) ) ____________________________ ) Defendant. ) ____________________________________) Case ID/Citation No.: __________________________________ DEFENDANT'S MOTION TO CONVERT COMMUNITY SERVICE WORK
DEFENDANT'S MOTION TO CONVERT COMMUNITY SERVICE WORK I, _____________________________________, was ordered to perform ______ hours of
(Print Name)
community service work in this case. I have ______ hours of community service which remain undone. I request that the Court convert the community service work hours to: G G Fine or Monetary Assessment; OR Jail (for criminal convictions ONLY).
Dated: ____________________, Hawaii, _____________________.
(City) (Date)
__________________________________ Signature of Defendant
.
Rev. 21 August 2006 1DC
Reprographics (10-06)
Reset Form
1D-P-1222