STATE OF HAWAIʻI

CIRCUIT COURT OF THE _____ CIRCUIT

GENERAL CIVIL CASE COVER SHEET

(Civil Information Sheet Required by Haw. R. Civ. P. 3(g))

[COURT CLERK’S STAMP AREA]

SECTION 1 – COURT & CASE IDENTIFICATION

1.1 Case Number: ____ (to be completed by Clerk)
1.2 Judge (if known): ____
1.3 Filing Date: / _ / 20    Time: _ a.m./p.m.
1.4 Type of Initial Pleading (check one):
• ☐ Complaint  • ☐ Petition  • ☐ Other: ______

[// GUIDANCE: Rule 3(g), Hawaiʻi Rules of Civil Procedure, requires that this cover sheet accompany every initial civil pleading filed in the Circuit Courts. If filing in the District Court, verify the applicable local form and fee schedule with the Clerk’s Office.]

SECTION 2 – PARTY & ATTORNEY INFORMATION

2.1 PLAINTIFF(S)
• Name(s): __________
• Mailing Address: _______
• Phone: ___  E-Mail: _________

2.2 DEFENDANT(S)
• Name(s): _________
• Mailing Address: ________
• Phone: ___  E-Mail: ______

2.3 ATTORNEY FOR PLAINTIFF
• Name: _____ Bar No.: ___
• Firm: _________
• Office Address: _______
• Phone: ___  E-Mail: ______

[// GUIDANCE: Insert additional rows or an addendum if more than two plaintiffs/defendants are involved. Ensure corporate parties are identified by full legal name and entity type (e.g., ABC Hawaiʻi, LLC).]

SECTION 3 – NATURE OF SUIT / CASE CATEGORY

(Check ONE primary category and ONE sub-category that best describes the dominant claim. If multiple distinct claims, check “Other – Multiple”.)

A. TORT
☐ 01 Motor Vehicle  ☐ 02 Premises Liability  ☐ 03 Products Liability
☐ 04 Medical/Professional Malpractice  ☐ 05 Wrongful Death
☐ 06 Intentional Tort (e.g., assault, defamation)
☐ 07 Other Tort (specify): ______

B. CONTRACT
☐ 11 Assumpsit / Breach of Contract   ☐ 12 Collections
☐ 13 Insurance Coverage        ☐ 14 Construction
☐ 15 U.C.C./Commercial Transaction  ☐ 16 Other Contract (specify): ______

C. REAL PROPERTY
☐ 21 Foreclosure  ☐ 22 Quiet Title  ☐ 23 Condemnation / Eminent Domain
☐ 24 Partition  ☐ 25 Land Court / Title Registration
☐ 26 Other Real Property (specify): __________

D. COMPLEX / SPECIAL PROCEEDINGS
☐ 31 Class Action  ☐ 32 Mass Tort  ☐ 33 Shareholder Derivative
☐ 34 Complex Business Litigation  ☐ 35 Other Complex: ___

E. STATUTORY / ADMINISTRATIVE
☐ 41 Administrative Agency Appeal (specify agency): ___
☐ 42 Declaratory / Injunctive Relief (non-tort)
☐ 43 Election Contest  ☐ 44 Environmental / Land Use
☐ 45 Other Statutory (specify): ______

F. OTHER CIVIL
☐ 51 Miscellaneous Civil Action    ☐ 52 Foreign Judgment
☐ 53 Enforcement of Administrative Order  ☐ Other – Multiple: ____

SECTION 4 – JURY DEMAND & CASE COMPLEXITY

4.1 Jury Demand:  ☐ Yes  ☐ No  (If “Yes,” jury fee must be paid per fee schedule.)
4.2 Estimated Trial Length: ______ days
4.3 Does the case involve more than 200 documentary exhibits, more than 10 expert witnesses, or novel/complex issues of law?
  ☐ Yes  ☐ No

[// GUIDANCE: Checking “Yes” in §4.3 may trigger court management under the Complex Litigation Pilot Project or assignment to the court’s Business/Complex Division, where available.]

SECTION 5 – RELATED OR CONSOLIDATED CASES

5.1 Prior or pending Hawaiʻi state cases involving the same parties, transactions, or issues:
• Case No.: ____ Court: ____
• Case No.: ___ Court: _______
☐ Additional related cases listed in attached addendum.

SECTION 6 – DEMAND / RELIEF SOUGHT

6.1 Monetary Relief: $ ___ (exclusive of interest & costs)
6.2 Non-Monetary Relief (brief description): ____
6.3 Estimated Value of Real Property (if applicable): $ _______

[// GUIDANCE: Provide a good-faith estimate; this information assists the court in statistical reporting and fee assessment and does not limit recovery.]

SECTION 7 – FILING FEE CALCULATION WORKSHEET (OPTIONAL)

Item (reference current Judicial Fee Schedule)      Amount ($)
• Initial Complaint / Petition Filing Fee:       [__]
• Jury Demand Fee (if applicable):         [_]
• Additional Parties (>12) Fee:           []
• Exhibit Copy / Certification Fees:        []
TOTAL FEES PAID:               [___]

[// GUIDANCE: Hawaiʻi court fees change periodically by administrative order. Confirm all amounts with the latest “Civil Filing Fees” schedule posted on the Judiciary’s website or at the Clerk’s Office.]

SECTION 8 – CERTIFICATION & SIGNATURE

I certify that to the best of my knowledge, information, and belief formed after reasonable inquiry:
(a) This cover sheet is complete and accurate;
(b) The case category selected above is the most specific and appropriate; and
(c) I will promptly notify the court and all parties of any corrections or amendments needed.

Date: _ / _ / 20_    Signature: ____
Printed Name: _____ Title: ☐ Attorney  ☐ Self-Represented

SECTION 9 – CLERK’S OFFICE USE ONLY

• Fee Receipt No.: ___ Amount Received: $ _
• Date Entered in JIMS: / _ / 20_
• Initials of Receiving Clerk: _

[// GUIDANCE:
1. E-FILING: When using JEFS, upload this cover sheet as a separate lead document.
2. CONFIDENTIAL INFORMATION: Do NOT include full Social Security numbers, full birth dates, or financial account numbers—use the partial redaction standards of HRPP Rule 45 or HRCP Rule 5.2.
3. AMENDMENTS: If the complaint is amended to add or remove claims that change the “Nature of Suit,” file an updated cover sheet marked “AMENDED” in the upper right-hand corner.
4. REMOVAL TO FEDERAL COURT: If this case is later removed, attach the state-court file-stamped cover sheet to the Notice of Removal for the U.S. District Court’s records.
]

ATTORNEY CHECKLIST

• Verify compliance with Hawaiʻi Rules of Civil Procedure, especially Rule 3(g).
• Confirm the correct Circuit (First – Oʻahu; Second – Maui; Third – Hawaiʻi; Fifth – Kauaʻi).
• Cross-check filing fees and electronic service addresses before submission.
• Maintain a copy of the filed cover sheet bearing the Clerk’s file stamp for your records.

© 2025 [LAW FIRM / AUTHOR NAME]. All rights reserved. This template is provided solely for use by licensed attorneys. No legal advice is rendered, and no attorney-client relationship is created.