Reserved for Official Use Only
Requestor Information
Case Identification
Records Requested
Fees
PLEASE BE ADVISED
This form as executed shall
FIRST CIRCUIT - OAHU
WRITTEN REQUEST TO PURCHASE COURT RECORDS
HAWAII STATE JUDICIARY
be FILED and, thereby, shall
be made part of the case record
Please mark your selections here:
I am NOT a party to this case:
Date Request Received: Clerk Receiving Request:
I am the:
I am the Attorney of Record for:
THIS SECTION FOR OFFICIAL USE ONLY
Please see Rule 2.2 of the Rules of the Circuit Courts of the State of Hawaii for the costs and fees to be collected by
the clerk.
Case Number Case Name (Names of all parties named in the case)
Case Type
(Civil, Criminal, Divorce, etc.)
Today's DateAdditional Contact Information (optional)Email Address
Zip CodeStateCityAddress
Last Name
Other. i.e.,
Number of
exemplified
copies
Number of
certified
copies
Number of
non-certified
copies
Title of Document (Please describe as completely as possible)Filing Date
I am requesting to purchase copies of ALL documents in the record.
I am requesting to purchase copies of only selected documents in the record as listed below (attach additional pages
if necessary).
I am requesting the RUSH service. I acknowledge full understanding and accept responsibility to pay the applicable
$10.00 RUSH fee which shall be included in my invoice for services and copies.
(Check one
g)
(Check one
g)
(Check one
g)
Court/Department:
Plaintiff/Petitioner
Defendant/Respondent
Defendant/Respondent
Plaintiff/Petitioner
1C-P-827
First Name
RG-LC-508 (8/2014)
