Civil Information Sheet {1C-P-167}

Form 2-A.CIVIL INFORMATION SHEETCIVIL INFORMATION SHEETIII. NATURE OF SUITIV. ORIGINVI. JURY DEMANDVII. CLASS ACTIONIX. RELATED CASE(S)RESERVED FOR COURT USECIV NO X. SIGNATURE OF ATTORNEY OR PARTY DATE 1C-P-167(Rev. 06/10/15) RG-LC-508 (8/2015)I(A). PLAINTIFF(S) Additional page(s) attachedI(B). DEFENDANT(S) Additional page(s) attachedII(A). PLAINTIFF'S(S') ATTORNEY (NAME / NUMBER) Additional page(s) attached Additional page(s) attachedII(B). DEFENDANT'S(S') ATTORNEY (IF KNOWN) (101) Contract (201) Motor Vehicle Tort (301) Assault & Battery (302) Construction Defects (303) Medical Malpractice (304) Legal Malpractice (306) Product Liability (399) Other Non-Vehicle Tort (401) Condemnation (501) Foreclosure (511) Agreement of Sale Foreclosure (503) Agency Appeal (504) Declaratory Judgment (599) Other Civil Action (02500) Environmental Court (A). Original Proceeding (B). Transfer from District Court CIV. NO. (C). Transfer from another Circuit V. DEMAND YES NO YES NO YES NOVIII. REQUEST TO EXEMPT FROM ARBITRATION JUDGE CIVIL NUMBER CIV. NO. American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETING THE CIVIL INFORMATION SHEETThe civil information sheet and the information it contains neither replace nor supplement the filings, the service pleadings or other documents as required by law, except as provided by the rules of court.This form is required for the purpose of initiating the civil docket sheet.Consequently, a civil information sheet is required for each civil complaint filed.The attorney/party filing a civil complaint shall complete the form as follows:I. PLAINTIFF(S)/DEFENDANT(S)List names: last, first, middle initial.If the plaintiff or defendant is a government agency, indicate the full name.If the plaintiff or defendant is an official of a government agency, first indicate the agency name and then the official's name and title.If the space provided is insufficient, attach additional page(s) and check the box so indicating.II. PLAINTIFF'S(S')/DEFENDANT'S(S') ATTORNEYIndicate the attorney name and license number.If the space provided is insufficient, attach additional page(s) and check the box so indicating.III. NATURE OF SUITPlace a "U" in the appropriate box. If more than one category applies, select the one category that best describes the action.Do not select more than one category.For cases arising under Hawaii Revised Statutes, section 604A-2, place a "U" in the Environmental Court box.IV. ORIGIN(A)Original Proceedings: cases originating in the circuit court.(B)Transfer from District Court: cases transferred from district court under Haw. Rev. Stat. 247247 604-5 (Supp. 2006), 633-31 (1993).(C)Transfer from another Circuit: cases transferred from another circuit under Haw. Rev. Stat. 247247 603-37, -37.5 (1993)V. DEMANDIndicate the remedy being demanded (e.g., damages, preliminary injunction, etc.)VI. JURY DEMANDIndicate whether a jury is being demanded.VII. CLASS ACTIONIndicate whether the action is brought as a class action.VIII. REQUEST TO EXEMPT FROM ARBITRATIONIndicate whether a "Request to Exempt from Arbitration" is filed.IX. RELATED CASESList the civil number and the assigned judge for related pending cases.X. SIGNATURE OF ATTORNEY OR PARTYDate and sign the civil information sheet.(Rev. 06/10/15) RG-LC-508 (8/2015)1C-P-167 American LegalNet, Inc. www.FormsWorkFlow.com