Free TRO Facsimile Transmittal Cover Sheet - Hawaii

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HRS 586 TEMPORARY RESTRAINING ORDER FACSIMILE TRANSMITTAL COVER SHEET TO: FAMILY COURT OF THE SECOND CIRCUIT Fax No.: 244-2767 (8:00 a.m. to 3:00 p.m.)
Name of Person/Agency: ___________________________________________________________ Address: ________________________________________________________________________ Telephone No.: ____________________ Fax Number Transmitted From: ___________________ Date of Transmission: _________________ The following documents have been transmitted for filing (Note: The filing party bears all risks of transmitting the petition by fax. The Service Center is not responsible for acknowledging receipt of any petition transmitted by fax. Faxing a petition does not constitute filing.): Ex Parte Petition For An HRS 586 Temporary Restraining Order Notice of Temporary Restraining Order and Notice of Hearing Temporary Restraining Order Proof of Service Number of pages being transmitted, including cover sheet: ______ SERVICE INFORMATION (on Respondent): Full Legal Name: _______________________________________________________________________ Date of Birth: Home Address: ________________________________ Age: _______________________________ ______________________________________________________________________

FROM:

Employer's name:_______________________________________________________________________ Employer's Address: _____________________________________________________________________ Contact telephone number: ___________________________ Work Hours: _______________________ Physical description (i.e., identifying scars, height, weight, eye color, etc.):__________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Respondent currently residing within Maui County Respondent suspected or known to be in-custody and service is requested prior to or immediately following hearing Respondent currently residing outside the State of Hawaii.

DISTRIBUTION: Petitioner's Copy Mail to Petitioner Pick up by Petitioner, if not picked up by end of business day, will be placed in agency's court jacket or mailed. Pick up by Agent, if not picked up by end of business day, will be placed in agency's court jacket or mailed. Other: _______________________________________________________________

Respondent's Copy (If unchecked, respondent's copy will be forwarded to MPD, Wailuku Headquarters) Pick up by Petitioner, if not picked up by end of business day, will be forwarded to MPD Pick up by Agent, if not picked up by end of business day will be forwarded to MPD Other: _______________________________________________________________ SPECIAL ACCOMMODATION YES NO

- INTERPRETER REQUIRED:

Petitioner (Language: ___________________________) Respondent (Language:__________________________)
2JC-jy 03/04/09

HRS 586 TEMPORARY RESTRAINING ORDER FACSIMILE TRANSMITTAL COVER SHEET Page 2 CONTACT INFORMATION: PETITIONER: Name: Home Address:
Street No. City

Mailing Address: Employer Address: Work hours: Phone Numbers: Home: Cell:

Work

RESPONDENT: Name: Home Address:
Street No. City

Mailing Address: Employer Address: Work hours: Phone Numbers: Home: Work Cell: Other addresses & times where Respondent can be served other than at home or work: