CASE NUMBER STATE OF HAWAI‘I FAMILY COURT ________ CIRCUIT PROOF OF SERVICE FC-D NO. Name, address, and telephone number of Movant Attorney for Movant: ____________________________________________ PLAINTIFF Name (Full Name) vs. Address ____________________________________________ DEFENDANT City, State, Zip Phone (Full Name) I served a certified copy of each document identified below by delivering to the following person(s): PERSON(S) SERVED DATE TIME PLACE DOCUMENTS SERVED Complaint Summons Notice to Attend Kids First II Motion and Affidavit for Pre-Decree Relief and Attachments Motion and Affidavit for Post-Decree Relief and Attachments _______________________________________________ PLEASE EXPEDITE RETURN OF SERVICE TO FAMILY COURT DATE POLICE OFFICER’S SIGNATURE BADGE ID NUMBER DATE OTHER SERVING OFFICER’S SIGNATURE NAME OF SERVING OFFICER UNSERVED DOCUMENTS: I certify that, despite due and diligent search, I was unable to locate the person to be served, and therefore the attached documents are being returned as unserved. FORM NO. 073918 (12/98) PROOF OF SERVICE 1F-P-140 American LegalNet, Inc. www.FormsWorkflow.com