BENCH WARRANT IN THE DISTRICT COURT OF THE SECOND CIRCUIT ______________________________ DIVISION STATE OF HAWAI`I THE STATE OF HAWAI`I vs. Name of ARRESTEE: DOB: SSN: Address of ARRESTEE: Form #2DC03 Reserved for Court Use Civil No. BW No. Plaintiff(s) Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address and Telephone and Facsimile Numbers) Defendant(s) Date Bench Warrant Ordered: BENCH WARRANT THE STATE OF HAWAI`I TO: The Director of Public Safety of the State of Hawai`i, his/her deputy or any police officer or other person authorized by the laws of the State of Hawai`i. Because above-named person (ARRESTEE) was duly ordered to appear before this Court at the Original Hearing Date and Time stated above, and failed to so appear: You are commanded to arrest and bring ARRESTEE before the Presiding District Judge of this Court, in his/her Courtroom, on the day and at the time designated by the checked box on the reverse side, then and there to show cause why ARRESTEE should not be found guilty of contempt of court. UNLESS AUTHORIZED IN WRITING, THIS WARRANT MAY NOT BE EXECUTED BETWEEN THE HOURS OF 10:00 P.M. AND 6:00 A.M. ON PREMISES NOT OPEN TO THE PUBLIC. Date: Judge of the above-entitled Court CONTINUED TO PAGE 2 BAIL SET AT: $ I certify that this is a full, true, and correct copy of the original on file in this office. ________________________________________________ Clerk, District Court of the above Circuit, State of Hawai`i Reprographics (02/15) 2DC03 Page 1 of 2 Section 508 Certified American LegalNet, Inc. www.FormsWorkFlow.com 2D-E-216 COURT DATE AND ADDRESSES: [ ] Hoapili Hale, Wailuku Division, (REGULAR CLAIMS) 2145 Main Street, Wailuku, Hawai`i, at 8:30 a.m. on the third Monday following date of service, and should said Monday be a legal holiday then upon the next Monday, Courtroom 3C. [ ] Hoapili Hale, Wailuku Division, (SMALL CLAIMS) 2145 Main Street, Wailuku, Hawai`i, at 1:30 p.m. on the third Monday following date of service, and should said Monday be a legal holiday then upon the next Monday, Courtroom 3D. [ ] Lahaina Division, 1870 Honoapiilani Highway, Lahaina, Hawai`i, at 8:30 a.m. on the third Thursday following date of service, and should said Thursday be a legal holiday then upon the next Thursday. [ ] Hana Division, 4974 Uakea Road, Hana, Hawai`i, at 9:00 a.m. on the first Tuesday of the next month following date of service, and should said Tuesday be a legal holiday then upon the following Tuesday of the next month. [ ] Moloka'i Division, 55 Makaena Place, Kaunakakai, Hawai`i, at 9:00 a.m. on the second Tuesday of the month following date of service, and should said Tuesday be a legal holiday, then upon the second Tuesday of the following month. [ ] Lana'i Division, 312 8th Street, Lana'i City, Hawai`i, at 10:00 a.m. on the third Tuesday of the month following date of service, and should said Tuesday be a legal holiday, then upon the third Tuesday of the following month. I am duly authorized by Hawai`i law to serve this Bench Warrant and I executed this Bench Warrant on the following person: ______________________________________________________________________________________________________________ at ____________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ on this _________________ day of ____________________________________, 20____. Signature of Serving Officer: Date: Print/Type Name: Badge No.: In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the District Court Administration Office at PHONE NO. 244-2800, FAX 244-2849 OR TTY 244-2889 at least ten (10) working days prior to your hearing or appointment date. For all Civil related matters, please call 244-2706 or visit the Service Center at 2145 Main Street, Room 141, Wailuku, HI 96793 2D-E-216 (Rev 4/8/2015) Reprographics (02/15) 2DC03 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com