Proof Of Service {1-FP-140}

STATE OF HAWAI`I FAMILY COURT FIRST CIRCUIT CASE NUMBER PROOF OF SERVICE FC-D No. This document is prepared by: Plaintiff Defendant Atty for Plaintiff 9 (Full Name) 9 9 9 Atty for Defendant PLAINTIFF Name Address City, State, Zip Code v. (Full Name) DEFENDANT Telephone No. 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 9Complaint 9Summons 9Notice to Attend Kids First 9 Motion and Declaration for Pre-Decree Relief and Attachments 9 Motion and Declaration for Post-Decree Relief and Attachments 9 PLEASE EXPEDITE RETURN OF SERVICE TO FAMILY COURT DATE POLICE OFFICER'S SIGNATURE BADGE ID NUMBER PRINT NAME: DATE OTHER SERVING OFFICER'S SIGNATURE G UNSERVED DOCUMENTS: PRINT NAME: 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. In accordance with the Americans with Disabilities Act, as amended, and other applicable state and federal laws, if you require accommodation for a disability, please contact the ADA Coordinator at the First Circuit Family Court Office at PHONE NO. 954-8200, FAX 954-8308, or via email at adarequest@courts.hawaii.gov at least ten (10) days prior to your hearing or appointment date. FC Adm 5/16/14 American LegalNet, Inc. www.FormsWorkFlow.com COURT USE ONLY Proof of Service Please call the Family Court Service Center at 954-8290 if you have any questions about forms or procedures.