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Effective Dec. 1, all hearings originally scheduled for South Kohala District Court will be held at the Keahuolu Courthouse (Kona) or Hale Kaulike Courthouse (Hilo). For assistance, call 808-322-8700 (Keahuolu) or 808-961-7470 (Hale Kaulike) or email: skohalafc.3cc@courts.hawaii.gov.

Circuit Court Forms for Kaua`i (Fifth Judicial Circuit)

Please Note: Rule 9 of the Hawaii Court Record Rules; Parties’ Responsibility to Protect Personal Information and Account Numbers; Effective September 1, 2012. Rule 9 forms are available for your use.

Title of Document Form # Form Date
(Month/Yr.)
Civil Information Sheet 1C-P-167 10/19
Additional Claims Sheet 5C-P-260 08/08
Additional Claims Information Sheet 1C-P-009 10/19
Return and Acknowledgment of Service 1C-P-022 10/19
Summons (Civil Complaint) 5C-P-259 08/08
Summons to Answer Civil Complaint 1C-P-787 10/19
Request for Transcript of Proceedings for Record on Appeal (Instructions and Form) 1C-P-735 08/09
Sex Offender Addendum 1C-P-923 11/17
Criminal Plea Form 1C-P-851 01/17
Exhibit List 1C-P-053 07/17
Exhibit List Continuation Sheet 1C-P-089 01/17
Request to Proceed in Forma Pauperis (Criminal/Family Court Criminal) 5C-E-244 06/07
Request to Proceed in Forma Pauperis 5C-E-245 06/07
Subpeona Notice to Appear/Duces Tecum (Circuit/Family Court) 5C-P-256 08/08
Subpeona Notice to Appear/Duces Tecum 5C-P-257 08/08

Judgment

Title of Document Form # Form Date
(Month/Yr.)
All Claims 1C-P-617 10/19
Particular Counts 1C-P-618 10/19
54(b) Certified 1C-P-619 10/19
Agency Appeal 1C-P-620 10/19
Injunction 1C-P-620 10/19
Declaratory 1C-P-622 10/19
Motion to Dismiss 1C-P-623 10/19
Dismissal – RCCH 12(q) 1C-P-624 10/19

Court Annexed Arbitration Program (CAAP) Forms

Forms for the Parties

Title of Document Form # Form Date
(Month/Yr.)
Arbitration Schedule 1C-P-519 01/14
Notice of First Pre-Hearing Conference Date 5C-P-237 03/11
Notice of Hearing 5C-P-238 03/11
Settlement Prior to Arbitration Hearing 5C-P-239 03/11
Stipulation to Arbitrator’s Participation in Settlement Negotiations 1C-P-520 04/04
Request for Extension of the 9-Month Deadline (CommonLook 508 Certified, 11/11) 5C-P-240 06/11
Arbitration Award (No Comparative Negligence) 1C-P-516 09/19
Arbitration Award (Comparative Negligence) 1C-P-517 05/12

Pleadings

Title of Document Form # Form Date
(Month/Yr.)
Request to Exempt Case From the Court Annexed Arbitration Program 1C-P-524 04/04
Request to Remove A Case From the Court Annexed Arbitration Program 1C-P-522 08/05
Request to Readmit A Case Into the Court Annexed Arbitration Program 1C-P-523 08/05
Stipulation to Arbitrator’s Participation in Settlement Negotiations 1C-P-520 04/04
Notice of Appeal and Request for Trial De Novo 1C-P-521 09/19

Discovery Requests

Motor Vehicle

Title of Document Form # Form Date
(Month/Yr.)
Interrogatories to Plaintiff 1C-P-528 07/07
Interrogatories to Defendant 1C-P-527 07/07
First Request for Production of Documents 1C-P-531 04/04

Slip/Trip/Fall

Title of Document Form # Form Date
(Month/Yr.)
Interrogatories to Plaintiff 1C-P-526 07/07
Interrogatories to Defendant 1C-P-525 04/04
Defendant’s First Request for Production of Documents and Things to Plaintiff 1C-P-530 04/04
Plaintiff’s First Request for Production of Documents and Things to Defendant 1C-P-529 04/04

Miscellaneous

Title of Document Form # Form Date
(Month/Yr.)
Application for Use of Judiciary Facilities SC-P-371 10/20