Free Continuance (Stipulation) - Hawaii

Stipulation for ContinuanCe
in the DiStriCt Court of the fifth CirCuit State of hawai`i
Plaintiff(s)

Form #5DC12

Reserved for Court Use

Civil No. Defendant(s) Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)

Court Date & Time (if any): Return Pre-Trial None

Trial Other:___________________ Stipulation for ContinuanCe

All appearing parties enter a STIPULATION FOR CONTINUANCE in the above-entitled matter for the following reason(s): (Attach continuation page, if necessary).

By signing this document, we acknowledge that if approved, the new court date is: Date: ____________________Time:______ a.m. or p.m. Return Pre-Trial Other: ____________________________ (All appearing parties must sign below.) Signature of Plaintiff(s)/Plaintiff(s)' Attorney:

Date:

Print/Type Name: Signature of Defendant(s)/Defendant(s)' Attorney:

Date:

Print/Type Name: Approved Denied

Date:

Judge of the above-entitled Court In accordance with the americans with Disabilities act if you require an accommodation for your disability, please contact the District Court Administration Office at PHONE NO. 482-2347, FAX 482-2509, OR TTY 482-2533 at least (10) working days in advance of your hearing or appointment date.

RepRogRaphics (03/09)

coNTsTi 5D-p-178

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