PLEASE BE ADVISED                        HAWAII STATE JUDICIARY                                    Reserved for Official Use Only
This form as executed shall     WRITTEN REQUEST TO PURCHASE COURT RECORDS
   be FILED and, thereby, shall                   FIRST CIRCUIT - OAHU
  be made part of the case record   Court/Department:       FAMILY COURT
   Requestor Information
First Name                                        Last Name
Address                                           City                                        State                           Zip Code
Email Address                                     Additional Contact Information (optional)   Today's Date
I am the:
                                                         Plaintiff/Petitioner                         Defendant/Respondent
             (Check one g)
I am the Attorney of Record for:
                                                         Plaintiff/Petitioner                         Defendant/Respondent
             (Check one g)
I am NOT a party to this case:
             (Check one g)
   Case Identification
Case Type                           Case Number                      Case Name (Names of all parties named in the case)
(Civil, Criminal, Divorce, etc.)
   Records Requested
Please mark your selections here:
   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.
 Filing Date      Title of Document (Please describe as completely as possible)   Number of Number of Other. i.e.,
                                                                                  non-certified certified    Number of
                                                                                  copies        copies       exemplified
                                                                                                             copies
   Fees
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.
                                              THIS SECTION FOR OFFICIAL USE ONLY
Date Request Received:                                        Clerk Receiving Request:
    RG-LC-508 (8/2014)                                                                                                                  1C-P-827
    PLEASE BE ADVISED                               ATTACHMENT PAGE NUMBER
     This form as executed shall                             HAWAII STATE JUDICIARY
    be FILED and, thereby, shall                  WRITTEN REQUEST TO PURCHASE COURT RECORDS
  be made part of the case record
  Requestor Information
First Name                                    Last Name
  Case Identification
Case Type                           Case Number            Case Name (Names of all parties named in the case)
(Civil, Criminal, Divorce, etc.)
  Records Requested
To obtain copies of only selected documents in the record, please list below (continued from Page 1):
 Filing Date     Title of Document (Please describe as completely as possible)      Number of Number of Other. i.e.,
                                                                                    non-certified certified Number of
                                                                                    copies        copies    exemplified
                                                                                                            copies
    RG-LC-508 (8/2014)                                                                                           1C-P-827
                                                                                                           CLEAR FORM