CIVIL INFORMATION SHEET
PLAINTIFF(S) I. (a) PLAINTIFF ATTORNEY (NAME & NUMBER)
DEFENDANT ATTORNEY (IF KNOWN)
II. NATURE OF SUIT
DEFENDANT(S)
(101) (201) (301) (302) (303) (304) (306) (399) (401) (501) (511) (503) (504) (599)
Contract Motor Vehicle Tort Assault & Battery Construction Defects Medical Malpractice Legal Malpractice Product Liability Other Non-Vehicle Tort Condemnation Foreclosure Agreement of Sale Foreclosure Agency Appeal Declaratory Judgment Other Civil Action
III.
ORIGIN A. Original Proceeding B. Transfer from District Court C. Transfer from another Circuit DEMAND
IV.
$ __________________________________________________ V.JURY DEMAND VI. CLASS ACTION VII. REQUEST TO EXEMPT FROM ARBITRATION YES NO
YES NO
VIII. RELATED CASE(S)
YES NO
JUDGE ___________________________________________ DOCKET __________________________________________ RESERVED FOR COURT USE CIV NO ____________________________________________ IX. SIGNATURE OF ATTORNEY OF RECORD __________________________________________________
In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the Circuit Court Administration Office at PHONE NO. 961-7440, FAX 961-7416, or TTY 961-7525 at least ten (10) working days prior to your hearing or appointment date.
Reprographics (03/07)
CIVIL INFORMATION SHEET 3C-P-362
CLEAR
INSTRUCTIONS FOR ATTORNEYS COMPLETING THE CIVIL INFORMATION SHEET
The civil information sheet and the information contained herein neither replaces nor supplements the filings, the service pleadings or other papers as required by law, except as provided by the rules of court. This form is required by the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently, a civil information sheet is submitted to the Clerk of Court for each civil complaint filed. The attorney filing a civil complaint is to complete the form as follows: I. PLAINTIFFS-DEFENDANTS List names: last, first, middle initial. If the plaintiff or defendant is a government agency, use only the full name. If the plaintiff or defendant is an official within a government agency, first identify the agency and then the official's name and title. If there are several plaintiffs-defendants, list them on an attachment noting in this section, "(see attachment)".
1(a). ATTORNEYS List the attorney's name and license number. If there are several attorneys, list them on an attachment noting in this section, "(see attachment". II. NATURE OF SUIT Place an "X" in the appropriate box. If the cause fits more than one nature of suit, select the most definitive. ORIGIN A. Original Proceedings: cases originating in the circuit district. B. Transfer from District Court: cases transferred from district court under Hawai`i Rev. Stat. §604-5, 633-31 (1985). C. Transfer from another Circuit: cases transferred from another circuit under Hawai`i Rev. Stat §603-37-37.5 (1985). DEMAND Indicate the remedy being demanded such as a monetary sum or preliminary injunction. JURY DEMAND Indicate whether or not a jury is being demanded. CLASS ACTION Indicate whether or not a class action is being filed.
III.
IV. V. VI.
VII. REQUEST TO EXEMPT FROM ARBITRATION Indicate whether or not the form, "Request to Exempt from Arbitration" is being filed. VIII. RELATED CASES List the docket number(s) and the corresponding judge for related pending cases. IX. DATE AND ATTORNEY SIGNATURE Date and sign the civil information sheet.
Reprographics (03/07)
CIVIL INFORMATION SHEET 3C-P-362