CIVIL INFORMATION SHEET WORKSHEET
(Hawai‘i Circuit Court – Form 2-A shadow worksheet)
[// GUIDANCE: Use this to gather data before completing the official Form 2-A Civil Information Sheet. File the official form with the Complaint in the appropriate Circuit Court.]
1. CAPTION
text
STATE OF HAWAI‘I
CIRCUIT COURT OF THE [FIRST / SECOND / THIRD / FIFTH] CIRCUIT
Civil Information Sheet (Form 2-A) – Worksheet
Plaintiff(s): [NAME(S)]
Defendant(s): [NAME(S)]
Civil No.: [TBD BY CLERK]
2. PARTIES & COUNSEL (Form 2-A style)
- Plaintiff(s): [NAME / ADDRESS / PHONE / EMAIL]
- Defendant(s): [NAME / ADDRESS / PHONE / EMAIL]
- Additional parties: attach list if needed.
- Attorney: [NAME], HI Bar [NUMBER], Firm: [FIRM], Address: [ADDRESS], Phone: [PHONE], Email: [EMAIL]
- [ ] Self-represented party
3. NATURE OF SUIT (Form 2-A checklist)
- [ ] 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
- [ ] Environmental Court
- [ ] Asbestos
- [ ] Consumer Debt Collection
- [ ] Quiet Title
4. ORIGIN (Form 2-A)
- [ ] Original Proceeding
- [ ] Transfer from District Court
- [ ] Transfer from another Circuit
5. DEMAND (Form 2-A)
- Remedy sought: [DESCRIBE monetary / injunctive / declaratory / other]
6. JURY DEMAND (Form 2-A)
- [ ] Yes
- [ ] No
7. CLASS ACTION (Form 2-A)
- [ ] Yes
- [ ] No
8. REQUEST TO EXEMPT FROM ARBITRATION (Form 2-A)
- [ ] Yes (basis): [TEXT]
- [ ] No
9. RELATED CASE(S) (Form 2-A)
- Related case(s) and judge: [LIST OR "NONE"]
10. WORKSHEET-ONLY DETAILS (optional, for intake)
- Amount in controversy: $[AMOUNT] (exclusive of fees/costs)
- Service addresses and method (sheriff/process server/certified mail): [DETAILS]
- Interpreter needed: [YES/NO] – Language: [SPECIFY]
- Accommodation needed (ADA/disability): [YES/NO] – Describe: [SPECIFY]
11. SIGNATURE
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Date: [DATE]
____________________________________
[ATTORNEY NAME], HI Bar [NUMBER] / Pro Se
Attorney for [PARTY]
[// GUIDANCE: ADA notice (Form 2-A style): If you require an accommodation for a disability when participating in a court program, service, or activity, please contact the appropriate ADA Coordinator at least 10 working days before your proceeding. Phone numbers: O‘ahu (808) 539-4400; Maui (808) 244-2800; Hawai‘i (808) 961-7437; Kaua‘i (808) 482-2347. For Relay Services call 711.]