Free 1C-P-709RequestExcuseKidsFirst - Hawaii

Kids First Coordinator Family Court, First Circuit 777 Punchbowl Street Honolulu, Hawai`i 96813 Re: Request to be Excused from attending Kids First Program Case number: FCD or FCP Case names: 1. Names of persons who want to be excused:

Date:

2. 3. 4. 5. 6.

Date of Marriage: Date of Separation: Date scheduled to attend Kids First: Is there a Restraining Order:

Yes

No

Date attended Kids First within the past 2 years: a. b. c. FCD/FCP No.: Case names: Names at that time:

7.

Check the reasons that apply: Deployed, active duty military Moved out of State of Hawai`i Incarcerated In residential treatment facility Not understand English (requesting interpreter) Child of a prior or subsequent relationship and child never lived together with this divorcing couple as a "family unit" Child adopted by someone else Child lives in a foster home Incapacitated, mentally ill, severely disabled Explain other circumstances

Print name: Signature line: If different, name of person who prepared request: Daytime contact number:

Staff only:
Reprographics (01/09)

Approved

Request Denied
1C-P-709

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