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District 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.

For more information on District Court Civil cases, please refer to the Small Claims and Regular Claims sections on the website. A detailed informational brochure is available for each court.

When filing a form or other documents in the District Court, please be sure to provide one copy for each plaintiff or petitioner and one copy for each defendant or respondent in addition to the original document.

Pleadings

Short Name Title of Document Form # Form Date
(Month/Yr.)
Complaint (Assumpsit) Complaint (Assumpsit-Money Owed); Declaration; Exhibit(s); Summons  5DC07 06/10
Complaint (Assumpsit & Summary Possession) Complaint (Assumpsit, Summary Possession/Landlord-Tenant, Damages); Declaration; Exhibit(s); Summons 5DC08 02/15
Complaint (Personal Injury) Complaint (Personal Injury/Property Damages); Summons 5DC09 08/11
Complaint (Replevin) Complaint (Replevin); Summons 5DC10 01/18
Statement of Claim (Security Deposit) Statement of Claim and Notice (Disagreement about Security Deposit-Residential) 5DC05 01/10
Statement of Claim (General Form) Statement of Claim and Notice (General Form)  5DC06 01/10
Counterclaim Counterclaim; Certificate of Service; Declaration 5DC14 01/18
Cost Relief From Filing Fees Ex Parte Application for Relief From Costs; Declaration; Order

5DC13 08/11
Summons Summons 5DC50 01/18
Complaint (Ejectment, Damages); Declaration; Exhibit; Summons Complaint (Ejectment, Damages); Declaration; Exhibit; Summons 5DC57 01/18

Motions, Pre-trial Procedure

**NOTE: These civil forms should NOT be used for traffic and/or criminal matters (e.g., Notice of Parking Infraction(s), Notice of Traffic Infraction(s), Citation for Traffic Crime(s) Arrest, etc.). For Traffic matters, please use the forms in the Traffic Section. Use of these civil forms will route the document to the civil document section. These civil forms are intended for use in civil – regular or small claims – cases only. Any other use will delay processing.

Short Name Title of Document Form # Form Date
(Month/Yr.)
Continuance (Non-Hearing Motion) Non-Hearing Motion for Continuance; Declaration; Notice of Motion; Certificate of Service; 5DC11 08/11
Continuance (Stipulation) Stipulation for Continuance 5DC12 03/09
Ex Parte Motion Plaintiff’s/Defendant’s Ex Parte Motion 5DC15 05/10
Ex Parte Motion to Stay Execution of Writ of Possession Ex Parte Motion to Stay Execution of Writ of Possession; Declaration; Order 5DC16 01/18
Motion for Default Judgment (Default) Ex Parte Motion for Default Judgment; Declaration; Exhibit(s); Affidavit of Counsel Re: Attorney’s Fees; Order Granting Ex Parte Motion for Default Judgment

5DC17 08/11
Motion for Default Judgment (Non-hearing)(Default) Non-Hearing Motion for Default Judgment; Declaration; Exhibit(s); Affidavit of Counsel Re: Attorney’s Fees; Notice of Motion; Certificate of Service; Order

5DC18 08/11
Motion To Dismiss Motion to Dismiss; Declaration; Notice of Motion; Certificate of Service 5DC36 06/08
Dismissal Notice of Dismissal 5DC20 05/08
Dismissal (by Stipulation) Stipulation for Dismissal 5DC21 07/09
Motion for Discovery Motion for Discovery; Declaration; Notice of Motion; Certificate of Service 5DC37 06/08
Motion (Hearing) Plaintiff(s)’ / Defendant(s)’ Motion; Declaration; Notice of Motion; Certificate of Service 5DC38 06/08
Motion (Non-Hearing) Plaintiff(s)’ / Defendant(s)’ Non-Hearing Motion; Declaration; Notice of Motion; Certificate of Service 5DC39 07/08
Motion for Service by Posting Ex Parte Motion for Service of Process By Posting and By Certified Mail; Declaration; Declaration of Process Server; Order Directing Service of Process and Appearance of Defendant(s) (For Summary Possession Complaints Only) 5DC40 06/10
Motion to Set Aside Default / Judgment / Dismissal Motion to Set Aside Default / Judgment / Dismissal; Declaration; Notice of Motion; Certificate of Service  5DC42 07/08
Subpoena/Duces Tecum Subpoena or Subpoena Duces Tecum; Exhibit A 5DC49 08/08

Trial

Short Name Title of Document Form # Form Date
(Month/Yr.)
Exhibit List Exhibit List 5DC23 05/08
Exhibit List – Continuation Sheet Exhibit List Continuation Sheet 5DC24 04/03
Return of Exhibits Request for Return of Exhibits 5DC46 07/08

Miscellaneous

Short Name Title of Document Form # Form Date
(Month/Yr.)
Certificate of Service Certificate of Service 5DC04 05/08
Return of Service Return of Service; Acknowledgment of Service 5DP267 02/24
Transcript Request Request for Transcript(s) of Proceedings 1C-P-735 01/18

Judgment/Post-Judgment

Short Name Title of Document Form # Form Date
(Month/Yr.)
Judgment Judgment 5DC34 06/10
Judgment for Possession Judgment for Possession 5DC35 06/08
Judgment for Return of Personal Property Judgment for Return of Personal Property (Replevin) 5DC56 01/18
Notice of Entry of Judgment Notice of Entry of Judgment or Order 5DC43 07/08
Motion for Reconsideration or New Trial Motion for Reconsideration or New Trial; Declaration; Notice of Motion; Certificate of Service 5DC41 02/11
Order for Exam Individual and Person with Knowledge Ex Parte Motion for Examination of Judgment Debtor(s) or Person Having Knowledge of Judgment Debtor(s); Declaration; Order for Examination; Exhibit(s) 5DC44 08/10
Attorney’s Fees and Costs Declaration Regarding Attorney’s Fees and Costs: Exhibits  5DC02 01/18
Bench Warrant Bench Warrant 5DC03 08/08
Discontinuance of OE Ex Parte Motion for Discontinuance of Order for Examination and/or Recall of Bench Warrant; Order; Certificate of Service 5DC19 01/18
Exemplification Exemplification 5DC22 05/08
Garnishee by Migs Motion for Issuance of Garnishee Summons After Judgment; Declaration; Non-Conclusory Declaration; Order; Exhibit(s); Garnishee Summons; Garnishee Information 5DC29 08/08
Garnishee Order Garnishee Order 5DC30 06/08
Garnishee OSC Motion for Order to Show Cause on Garnishee; Declaration and Order; 5DC31 06/08
Garnishee Summons Garnishee Summons 5DC32 12/08
Garnishee Transfer Affidavit on Garnishee Transfer; Exhibit(s) Notice to Employer of Judgment Debtor(s); Garnishee Information  5DC33 08/11
Garnishee by Affidavit Affidavit of Judgment Creditor(s) for Garnishment of Wages; Exhibit(s); Notice to Employer of Judgment Debtor; Garnishee Information 5DP187 06/07
Garnishee Disclosure Garnishee Disclosure 5DC26 05/08
Garnishee Information Garnishee Information 5DC27 08/09
Garnishee Calculation Garnishee Calculation Worksheet 5DC27C 08/09
Garnishee Notice Garnishee Notice 5DC27A 05/08
Garnishee Return of Wages Judgment Debtor(s)’s Motion Return/Release of Wages Exempt from Garnishment; Notice of Motion; Certificate of Service; Garnishment Calculation Worksheet; Exhibit “A” 5DC27B 05/08
Release of Garnishee Release of Garnishee; Certificate of Service 5DC45 07/08
Satisfaction of Judgment Satisfaction of Judgment; Release of Garnishee(s) 5DC48 01/18

Temporary Restraining Orders

Short Name Title of Document Form # Form Date
(Month/Yr.)
Petition for TRO (TRO) Petition for Ex Parte Temporary Restraining Order and for Injunction Against Harassment; Declaration of Petitioner; Temporary Restraining Order Against Harassment; and Notice of Hearing 5DC51 02/15
Motion to Seal Address and Telephone Number Petitioner’s Motion to Seal Address and Telephone Number 5DC01 01/10
Order Granting Injunction Against Harassment (TRO) Order Granting Petition for Injunction Against Harassment 5DC52 08/08
Return of Service Return of Service; Acknowledgment of Service 5DP267 02/24
Petitioner Info Sheet Petitioner Info Sheet 5DP287 02/24
Serving Instructions Serving Instructions 5DP288 02/24

Writs

Short Name Title of Document Form # Form Date
(Month/Yr.)
Writ of Execution Writ of Execution; Exhibit A (Hawai’i Revised Statutes 651-32) 5DC53 08/08
Writ of Possession Writ of Possession 5DC54 08/08
Writ of Replevin Writ of Replevin 5DC55 01/18