STATE OF HAWAI I CIRCUIT COURT OF THE FIRST CIRCUIT CASE NUMBER: REQUEST FORM FOR NON APPEAL CASES Plaintiff Defendant Type of Proceeding: [ ] Grand Jury [ ] Video Court [ ] Audio Court [ ] Court Reporter Date(s) Requesting: Date of Proceeding: Name of Judge (Video or Audio Court) Court Reporter (if applicable) SPECIFY: [ ] Entire Hearing [ ] Partial (Specify) ________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ***DATE NEEDED BY (Please specify): ____________________________________________________ IF YOU ARE ORDERING A GRAND JURY OR VIDEOTAPED COURT PROCEEDING: [ ] Would like a copy of the video. (If Court-appointed, choose one.) [ ] Would like a written transcript. SPECIFY TYPE OF PAYMENT: [ ] I am privately retained and will make payment: [ ] I am court-appointed and have attached a copy of the Findings & Recommendation of the Public Defender and the Order Appointing counsel. DATE: REQUESTER: Name: ______________________________ Firm: ______________________________ Address: ______________________________ ______________________________ ______________________________ Telephone No. ___________________________ REQUESTER S SIGNATURE ***SEND ORIGINAL + 3 COPIES TO COURT REPORTERS OFFICE RECEIPT OF REQUEST ACKNOWLEDGED BY COURT REPORTERS OFFICE: American LegalNet, Inc. www.USCourtForms.com