Civil Appeal Docketing Statement Template
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1
2
3
4Circuit Court of the Second Circuit
IN THE
(Court or Agency From Which Appeal is Taken)
INTERNAL USE ONLY
CIVIL APPEAL DOCKETING STATEMENT
(For use by the Appellate Conference Program)
Reset Form
PLEASE TYPE OR PRINT. ATTACH ADDITIONAL PAGES IF NECESSARY.
Lower Court/Agency
TITLE:
Docket Number:
Is this a Cross-Appeal?
No
Yes
Has this manner previously been before the Hawaii Appellate
No
Courts?
Yes
If yes, state when?
Case Name:
SC Docket Number:
CHECK
AS
MANY
AS
APPLICABLE
LOWER COURT/AGENCY DISPOSITION
JURISDICTION
1. STAGE OF
2. TYPE OF JUDGMENT/
3. RELIEF
2. APPELLATE
1. LOWER COURT/
PROCEEDINGS
ORDER APPEALED
AGENCY
( ) Damages:
( ) Default Judgment
( ) Pre-Trial
( ) Final Decision
( ) Statutory
Amount Sought:
of Lower Court/
( ) Judgment/Court
( ) During Trial
$_____________
Agency
Decision
( ) Other Grounds
Amount Granted
( ) Dismissal/Jurisdiction
(Specify)
( ) After Trial
( ) Interlocutory
$_____________
( ) Judgment/Jury Verdict
Decision
( ) Dismissal/Merits
( ) Other (Specify)
( ) Injunctions:
( ) Summary Judgment
( ) Preliminary
( ) Judgment NOV
( ) Permanent
( ) Declaratory Judgment
( ) Granted
( ) Directed Verdict
( ) Denied
( ) Other (Specify)
( ) Other (Specify)
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