Free Form 8 - Hawaii

NO. _________ IN THE (SUPREME COURT or INTERMEDIATE COURT OF APPEALS) OF THE STATE OF HAWAI`I

________________________________,

) ) Plaintiff-__________________, ) ) v. ) ________________________________, ) ) Defendant-________________. ) __________________________________ )

____ NO. _________

REQUEST AND DECLARATION OF COUNSEL In accordance with Hawai#i Rules of Appellate Procedure (HRAP) Rule 39(d), I, ___________________________, attorney for __________________, request compensation for costs and attorneys' fees and, in conjunction herewith aver, as follows: 1. (Appellant or Appellee) prevailed in this appeal.

2. I request reimbursement for necessary and authorized costs as follows: Item Amount Authority a. $ ____________ b. $ ____________ c. $ ____________ d. $ ____________ TOTAL COSTS $ A true and correct itemized accounting of these costs, including relevant invoices and receipts, is attached as Appendix A.

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3. I have expended the following hours in attorney work and, pursuant to Hawaii Revised Statutes § or , am entitled to charge the following amounts for this appeal: Activity a. Correspondence, Interviews and Conferences b. Obtaining & Reviewing Records c. Legal Research d. Drafting e. Oral Argument (In-court) f. Other (Specify) TOTAL FEES Hours ______ ______ ______ ______ ______ ______ ______ Amount $ _______ $ _______ $ _______ $ _______ $ _______ $ _______ $ _______

@ $ _____ @ $ _____ @ $ _____ @ $ _____ @ $ _____ @ $ _____

Attached hereto as Appendix B are hourly worksheets, prepared in accordance with HRAP Form 8 and contemporaneously with the work performed as noted thereon and truthfully reflecting the amount of work actually performed in the representation of (Appellant or Appellee) ________________. Additional information [including the language of the contract authorizing attorneys' fees] and authority [including appropriate case authority] supporting my request for costs and attorneys' fees is included in the memorandum of law attached hereto. I, _______________________, declare under penalty of law, as provided by HRAP Rule 52, that the foregoing is true and correct. DATED: _______________________ __________________________________

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