R. Exp. Child. Protect. App. Form 1
No. _____________
IN THE INTERMEDIATE COURT OF APPEALSOF THE STATE OF HAWAI'I
HRS CHAPTER 587A (CHILD PROTECTIVE ACT) APPEAL
IN THE INTEREST OF | ) | FC-S No. ______________ |
) | ||
[INITIALS] | ) | |
) | FAMILY COURT OF THE | |
) | [specify circuit] CIRCUIT | |
) | ||
) | ||
) | ||
_____________________ | ) |
APPELLANT'S INSTRUCTION TO FILE THE NOTICE OF APPEAL
1. I, [Name of Appellant], am a party in the above-captioned case.
2. I wish to appeal the decision of the lower court or agency, and, therefore, approve of my attorney filing the notice of appeal in the above-captioned case.
I hereby declare that the above statement is true.
Dated this ____day of _________, 20__.
_________________________________________
[Party's Signature]
_________________________________________
[Party's machine printed name]
No. _____________
IN THE INTERMEDIATE COURT OF APPEALSOF THE STATE OF HAWAI'I
HRS CHAPTER 587A (CHILD PROTECTIVE ACT) APPEAL
IN THE INTEREST OF | ) | FC-S No. ______________ |
) | ||
[INITIALS] | ) | |
) | FAMILY COURT OF THE | |
) | [specify circuit] CIRCUIT | |
) | ||
) | ||
) | ||
_____________________ | ) |
CIRCUIT CERTIFICATE OF CONVENTIONAL SERVICE
I certify that a paper copy of the foregoing Appellant's Instruction to File the Notice of Appeal was duly served upon Appellee or Appellee's counsel (if represented)
[] in person at [address] on [date].
[] by mail at [address] on [date].
[] by certified mail at [address] on [date].
Dated this ___day of _________, 20__.
______________________________________
[Party's or Attorney's Signature]
[Party's or Attorney's machine printed name]
Counsel for Appellant.
R. Exp. Child. Protect. App. Form 1