STATE OF HAWAI#I In the ____________ Court of the ________ Circuit or Agency: ____________________________________________ THIS SPACE FOR OFFICE USE ONLY REQUEST FOR TRANSCRIPT(S) OF PROCEEDINGS G Check here if request is for Record on Appeal Trial Court/Agency Case Number: Appellate Case Number: Requestor's Name: Firm (if applicable): Address: vs. Phone No.: Fax No.: Email address: Attorney for: PROCEEDINGS RECORDED BY: G Court Reporter G Check here if proceedings are confidential. G Electronic Recorder Date(s) of proceeding(s) Type of proceeding (e.g. trial, motion, sentencing, etc.) G Plaintiff/Petitioner G Defendant/Respondent G Other (specify): Name of Court Reporter (if applicable): (Please complete a separate request for each court reporter) Portion of proceeding for which transcript is being requested Name of Judge/Hearing Officer/Agency Date notice of appeal filed: Date transcript(s) needed: Is a Court Reporter's Certificate of Prepayment or Waiver of Payment attached, or is a deposit of fees being made? G Yes G No Requestor's signature: Date: ACKNOWLEDGMENT AND RECEIPT Date request received: Court reporter's signature: Estimated completion date: For official use only In accordance with the Americans with Disabilities Act, and other applicable State and Federal laws, if you require an accommodation for a disability when working with a court program, service, or activity please contact the Chief Clerk, Supreme Court Clerk=s Office at PHONE NO. 539-4919, FAX 539-4928, or TTY 539-4853 at least ten (10) working days before your proceeding, hearing, or appointment date. U U HRAP Form 9 (04/11) Reprographics (07/11) IA CommonLook� 508 Certified Page 1 IA-P-009 American LegalNet, Inc. www.FormsWorkFlow.com General Instructions for Requesting Transcripts of Trial Court Proceedings for Appeal Purposes U U U Note: Please refer to Rule 10 of the Hawai#i Rules of Appellate Procedure for the specific requirements for requesting transcripts for appeal purposes. 1. Use a separate request form for each court reporter being asked to transcribe proceedings. You may list on one form multiple dates of proceedings to be transcribed by the same court reporter. 2. Use a separate request form to request transcripts of electronically-recorded proceedings from the supervising court reporter for a court, or if there is none, the administrator of the court whose proceedings are to be transcribed. You may list multiple dates of proceedings to be transcribed on one form. 3. Within 10 days after filing a notice of appeal, you must file the request for transcripts with the appellate clerk. The request must be accompanied by one of the following (unless you are statutorily exempt from the transcript prepayment or deposit requirement by HRS _ 606-13): a. a certificate from each named court reporter that the fees for the reporter's services have been paid or waived; a deposit with the court reporter of the approximate cost of the transcript fees, as computed by the court reporter in advance in writing at the rate established by the Hawai#i Rules Governing Court Reporting; or a deposit with the court reporter of the approximate cost of the transcript fees, as computed in advance in writing at the rate of $150 for each hour of proceedings to be transcribed. b. c. HRAP Form 9 (04/11) Page 2 IA-P-009 American LegalNet, Inc. www.FormsWorkFlow.com CommonLook� 508 Certified