Request And Service Instruction Form printable pdf download

Request And Service Instruction Form

CASE NUMBER

STATE OF HAWAI‘I

RETURN AND ACKNOWLEDGMENT

CIRCUIT COURT OF THE

OF SERVICE

__________ CIRCUIT

DOCUMENTS SERVED:

I, Sheriff/Police Officer of the State of Hawai‘i do hereby certify that I received a certified copy of the documents

listed above and that I served the same on _____________________________________________________________

(name of party)

on ____________________________ at ______________________________ at _____________________________

(date)

(time)

_______________________________________________________________ within the State of Hawai‘i as follows:

(address)

PERSONAL: By delivering to and leaving with __________________________________________, personally.

SUBSTITUTE: [HRCP 4(d) (1) (A)] After due and diligent search and inquiry, I served above-named defendant

through __________________________________________________, a person of suitable age and discretion

then residing at said party’s usual place of abode, since the defendant could not be found.

SUBSTITUTE: [HRCP 4(d) (1) (B)] I served above-named defendant through ___________________________,

authorized agent to receive service of process for said defendant.

BUSINESS/CORPORATION/GOVERNMENTAL ENTITY: On _______________________________________

(name of business/corp/entity)

_______________________by serving through ____________________________________________________,

(name of person served)

__________________________, who is the _______________________________________and authorized agent

(postition/title)

of said Business/Corporation/Governmental Entity.

GARNISHMENT: I served ____________________________________________ through ________________

(name of garnishee)

_____________________________________ who is authorized to accept service for the above-named garnishee.

(name of person served)

NOT FOUND: After due and diligent search and inquiry, I am unable to find ___________________________.

(name of party)

Attorney (Name, I.D. No., Address, Phone)

Date:

Sheriff/Police Officer (type or print)

Signature

FORM NO. 001103 (7/91)

RETURN AND ACKNOWLEDGMENT OF SERVICE 1C-P-022

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Request And Service Instruction Form