Notice To DHS Of Pendency Of Action
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice To DHS Of Pendency Of Action Form. This is a Hawaii form and can be use in Family Court Statewide.
Loading PDF...
Tags: Notice To DHS Of Pendency Of Action, Hawaii Statewide, Family Court
FAMILY COURT
______ CIRCUIT
STATE OF HAWAI‘I
NOTICE TO DHS
OF PENDENCY OF ACTION
In the Matter of Adoption of
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
by
CASE NUMBER
FC-A NO.
[ ]ATTORNEY FOR PETITIONER(S)
[ ]PETITIONER(S) PRO SE
Name
Address
City, State, Zip Code
[ ]the legal spouse of [ ]and
Telephone Number
[ ]the child(ren)'s legal parent
[ ]husband and wife
[ ]an unmarried person
Petitioner(s).
TO:
DIRECTOR OF HUMAN SERVICES
c/o Child Welfare Services Intake Unit
Attn: Ms. Johnny A. Papa, Supervisor
420 Waiakamilo Road, Suite 300A
Honolulu, Hawaii 96817
Pursuant to Section 578-8(b), Hawaii Revised Statutes, you are hereby notified that an adoption petition
for the above entitled matter has been filed and is pending before the Court. You have twenty-one (21) days
from the receipt of this Notice to make such investigation and to file a written report as you may deem proper
as to the fitness of the petitioner(s) to adopt the individual(s). Extensions of time may be granted for good
cause shown. Please direct all reports and requests for extensions to Family Court, Attention: Adoption
Clerk.
DATE
Clerk of the Court’s Signature
FOR COURT USE ONLY
08/07/01
NOTICE TO DHS OF PENDENCY OF ACTION
American LegalNet, Inc.
www.FormsWorkflow.com
