APPLICATION FOR EXTENDED COVERAGE
PLEASE PRINT ALL INFORMATION
NAME OF CASE FOR WHICH COVERAGE IS SOUGHT
CASE NO. (INCLUDE DESIGNATION, E.G., CRIM. NO. 000) IF AVAILABLE
DATE OF NEXT PROCEEDING IN THE CASE TIME, IF KNOWN
FOR JUDICIARY COORDINATOR’S USE ONLY
DATE APPLICATION RECEIVED TIME APPLICATION RECEIVED
NAME OF PRESIDING JUDGE TELEPHONE NO.
DATE TIME MESSAGE I.D.
NAME OF PARTY’S ATTORNEY TELEPHONE NO. DATE TIME MESSAGE I.D.
NAME OF PARTY’S ATTORNEY TELEPHONE NO.
DATE TIME MESSAGE I.D.
NAME OF PARTY’S ATTORNEY TELEPHONE NO.
DATE TIME MESSAGE I.D.
LOCATION OF NEXT PROCEEDING: (CHECK APPROPRIATE BOX)
❑ O‘AHU ❑ HAWAI‘I ❑ KAUA‘I
❑ MOLOKA‘I ❑ LᾹ NA‘I ❑ MAUI
COURT OF NEXT PROCEEDING: (CHECK APPROPRIATE BOX)
❑ DISTRICT COURT ❑ FAMILY COURT ❑ CIRCUIT COURT
❑ INTERMEDIATE COURT OF APPEALS ❑ SUPREME COURT
NAME OF PERSON MAKING APPLICATION BUSINESS TELEPHONE NO. DATE OF APPLICATION
NAME OF ORGANIZATION SEEKING COVERAGE TYPE OF ORGANIZATION: (CHECK APPROPRIATE BOX)
❑ MEDIA ❑ EDUCATIONAL ❑ OTHER
Application for extended coverage must be received by the appropriate Judiciary Coordinator in reasonable time so that the attorneys for the
parties can be notified before the next scheduled proceeding in the case for which extended coverage is sought. For additional information,
see Rule 5.1, Rules of the Supreme Court of the State of Hawaiʻi.
Please submit this completed form to the appropriate Judiciary Coordinator listed below.
APPELLATE COURTS (O‘ahu) SECOND CIRCUIT (Maui, Moloka‘i, La
-
na‘i)
Supreme Court & Intermediate Court of Appeals Circuit Court
Coordinator: Supreme Court Clerks’ Office Coordinator: Office of the Chief Court Administrator
417 South King Street, Room 103 2145 Main Street, Room 226
Phone: 539-4919, FAX: 539-4928 Phone: 244-2929, FAX: 244-2777
FIRST CIRCUIT (O‘ahu) District Court
Circuit Court Coordinator: Office of the Deputy Chief CourtAdmin.
Coordinator: Office of the Chief Court Administrator 2145 Main Street, Suite 106
777 Punchbowl Street Phone: 244-2855, FAX: 244-2932
Phone: 539-4400, FAX: 539-4402
THIRD CIRCUIT (Hawai‘i)
District Court Circuit Court/District Court
Coordinator: Court Administrator, Legal DocumentsBranch 2 Coordinator: Office of the Chief Court
Administrator
1111 Alakea Street, 3rd Floor 777 Kilauea Avenue
Phone: 538-5101, FAX: 538-5111 Phone: 961-7440, FAX: 961-7577
Family Court FIFTH CIRCUIT (Kaua‘i)
Coordinator: Office of the Deputy Chief Court Administrator Circuit Court/District Court
4675 Kapolei Parkway Coordinator: Court Administrator
Phone: 954-8200, FAX: 954-8573 3970 Ka
-
‘ana Street, Suite 208
Phone: 482-2314, 482-2347, FAX: 482-2509
RG-AC-508 (5/18)
APPLICATION FOR EXTENDED COVERAGE CR-P-002
