STATE OF HAWAI`I FAMILY COURT FIRST CIRCUIT
PROOF OF SERVICE
CASE NUMBER
FC-D NO.
This document is prepared by u Plaintiff u Attorney for Plaintiff PLAINTIFF (Full Name) VS. _________________________________________________
Name
_________________________________________________ _________________________________________________
Address
_________________________________________________ DEFENDANT (Full Name)
City, State, Zip
_________________________________________________
Phone
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
u Complaint u Summons u Notice to Attend Kids First II u Motion and Affidavit for Pre-Decree Relief and Attachements u Motion and Affidavit for Post-Decree Relief and Attachments u ___________________________________________
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
u 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)
Reset Form
PROOF OF SERVICE 1F-P-140