STATE OF HAWAI`I
FIFTH CIRCUIT DISTRICT COURT PLAINTIFF:
CASE NUMBER
TRANSCRIPT REQUEST FOR NON-APPEAL CASES
vs. DEFENDANT:
COURT: TYPE OF PROCEEDING(S): TYPE OF TRANSCRIPT REQUESTING: DATE REQUESTING: Date of Proceeding(s):
DISTRICT VIDEO VIDEO AUDIO AUDIO CD CD
Name of Presiding Judge
SPECIFY TYPE OF PAYMENT:
I am a pro se litigant. I am privately retained and will make payment before media is produced. I am Court Appointed and have attached a copy of the Notice of Conflict and Order Appointing Counsel.
DATE: REQUESTOR'S: Name: __________________________________________________ Firm: ___________________________________________________ Address: ________________________________________________ _______________________________________________________ _______________________________________________________ Telephone Numbers. ____________________________________ (H) ___________________________________ (W) _________________________________ (CELL) I UNDERSTAND THAT PAYMENT MUST BE PAID IN FULL PRIOR TO THE TRANSCRIPT BEING PREPARED. FOR COURT USE ONLY: PAYMENT MADE:
Reprographics (11/07)
REQUESTOR'S SIGNATURE
$25.00 (1/2 Day) YES
$50.00 (Full Day) NO
TRANSCRIPT REQUEST FOR NON-APPEAL CASES 5D-E-265
CLEAR FORM