Fillable 1DC06 Small Claims - General statement of claim and notice (#1DC06)

Fill Online, Printable, Fillable, Blank 1DC06 Small Claims - General statement of claim and notice (#1DC06) Form

Use Fill to complete blank online HAWAII STATE JUDICIARY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

1DC06 Small Claims - General statement of claim and notice (#1DC06)

On average this form takes 3 minutes to complete

The 1DC06 Small Claims - General statement of claim and notice (#1DC06) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Hawaii State Judiciary forms online.

BROWSE HAWAII STATE JUDICIARY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Small Claims – General statement of claim and notice
(#1DC06)
In the Small Claims Division of the
District Court of the First Circuit
_________________________________ Division
State of Hawaiʻi
How to use this form
Use this form to file a small claims case if you believe someone owes you
$5,000 or less.
When you file this form, you are called the Plaintiff. The person you
want a judgment against is called the Defendant.
Please read these instructions before you start the form
__________________________________________________________
Case number:
This form is 3 pages and has 2 parts:
Part I: The Statement of Claim, including your sworn statement about your situation (called a Declaration).
Fill out Part I to give the Court the details about your case and to tell the Court what you would like to happen.
Part II: A Notice of Hearing. The Court Clerk will use this part of the form to schedule a hearing for your case. At the hearing, you
will be able to present evidence and tell the Judge why you should win this case. The Defendant will have the same
opportunity.
When you have finished the form and the Court has scheduled a hearing, you must deliver a copy of the full form to the Defendant.
You can find more information on the Service of Process Information Sheet.
Part I
STATEMENT OF CLAIM
1
Give the Court your contact information and as much of the Defendant’s contact information as you can. If you
have an attorney, give the Court your attorney’s contact information.
Your name,
address,
telephone
number, and
email:
Your attorney’s
name, attorney
number, firm
name, address,
telephone
number, and
email:
Defendant’s
name,
address,
telephone
number, and
email:
Attorney signature
On the next page, you will give the Judge more information about your case and what you would like to happen. You will then sign a
Declaration, swearing that the information in this form is true.
1D-P-1038
RG-AC-508 (05/2020) RL
1
Choose One
2
Give the Court information about the money that the Defendant owes you.
The Defendant
owes me this
much money:
$
Month Day Year
The Defendant has owed me this
money since this date:
This is why the
Defendant owes me
money:
(Attach another sheet
if you need more
room.)
3
Read the information below and then sign the Declaration.
I would like the Court to order the Defendant to pay me the amount listed above. I would also like the Court to
order the Defendant to pay me interest, costs, and fees that the Court believes are just and reasonable.
PLAINTIFF’S DECLARATION
The information in this claim is true and correct. I understand that I may be prosecuted for perjury if I
have stated anything in this form that I know is not true.
Your
Today’s date:
signature:
Part II
NOTICE OF HEARING
4
Fill in the Defendant’s name below and then take or mail the form to the Court. Court staff will schedule a
hearing and will fill out the rest of Part II then return it to you to serve.
To:
(Defendant’s name)
The Plaintiff has filed this Statement of Claim. A Judge will hear arguments from both the Plaintiff and the Defendant at
the place and time stated here:
Place:
Honolulu Division Kauikeaouli Hale - 1111 Alakea Street, Honolulu – 10th Floor
‘Ewa Division 870 Fourth Street, Pearl City, Honolulu, Hawai‘i
Ko‘olaupoko/Ko‘olauloa Division 45-939 Po‘okela Street, Kāne‘ohe, Hawai‘i
Wahiawā or Waialua Division 1034 Kilani Avenue, Wahiawā, Hawai‘i
Wai‘anae Division 4675 Kapolei Parkway, Kapolei, Hawai‘i
Date & time:
If you need to mail or deliver anything to the Court, use this address, even if your hearing is at another location:
1111 Alakea Street, Honolulu, Hawai‘i 96813 – Third Floor
Clerk’s
Today’s date:
signature:
2
Clear form
Here is more information to help both parties prepare for the hearing.
What if I don’t come to the hearing?
If you are the Defendant and you do not come to the hearing on the date and time shown above, the
Court may order you to pay the Plaintiff the amount requested in the Statement of Claim. This is called
a Default Judgment.
If you are the Plaintiff and you do not come to the hearing, the Court may dismiss your case.
May I hire an attorney?
Yes. You may come to the hearing with or without an attorney.
May I bring witnesses and documents to support my case to the hearing?
Yes. If you plan to question witnesses, they must come to the hearing at the date and time shown
above.
You may also ask the Judge to look at documents that support your case. You must bring those
documents, with at least 2 copies, to the hearing.
How can I make sure my witnesses show up for the hearing?
The Court can help you make sure a witness comes to the hearing by issuing a subpoena. If you wish to
subpoena witnesses, contact the Court Clerk as soon as possible before the hearing.
How can I get the case moved to a different court?
A small claims case can only be transferred to the Court’s Regular Claims Division if the Plaintiff agrees
to the transfer. If the Plaintiff agrees to the transfer, you must pay the regular claims filing fee to this
Court.
Defendant, if you file a counterclaim for more than $5,000, then either you or the Plaintiff may ask for a
jury trial. Once the jury fee is paid, the Court will decide if the case should be transferred to the Circuit
Court.
If I lose the case, may I appeal it?
No. In a small claims action, the Judge’s decision is final. You MAY NOT appeal a judgment of the Small
Claims Division.
Instructions to the Plaintiff about delivering this form to the Defendant
You must deliver a full copy of this form to the Defendant, either by registered or certified mail, with restricted
delivery, or by personal service. Please read the Instructions on the Service of Process Information Sheet
carefully before you try to serve the Defendant.
Restriction on personal service: This claim may not be personally delivered between 10:00 p.m. and 6:00 a.m.
unless it is served at a location that is open to the public, or unless a Judge of this Court, by written order,
permits personal delivery during those hours.
Americans with Disabilities Act Notice
If you need an accommodation for a disability when participating in a court program, service or activity, please
contact the ADA Coordinator as soon as possible to allow the court time to provide an accommodation:
• Call (808) 538-5121; or
• Send an e-mail to adarequest@courts.hawaii.gov
The court will try to provide, but cannot guarantee, your requested auxiliary aid, service or accommodation.
If you need help with this document, please contact the District Court Service Center at PHONE NO. (808) 538-5629 • VISIT
1111 Alakea Street, Third Floor.
3
2
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

1DC06 Small Claims - General statement of claim and notice (1DC06)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 9 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document