Kids First Information Sheet {2F-P-345}

STATE OF HAWAII FAMILY COURT SECOND CIRCUIT KIDS FIRST INFORMATION SHEET NAME: MAILING ADDRESS: TELEPHONE: PLAINTIFF MOTHER/FATHER(circle) DATE OF PROGRAM: WEDNESDAY,036 INITIALS OF CHILDREN 1. 2. 3. 4. 5. SEX036 NAME: MAILING ADDRESS: CASE NUMBER FC-: DEFENDANT MOTHER/FATHER(circle) TELEPHONE: C-H-I-L-D-R-E-N036 AGE DATE OF BIRTH036 ACTIVE RESTRAINING ORDER BETWEEN PARTIES Yes G LIVING W/WHOM? No G IF EITHER PARENT LIVES ON THE ISLAND OF OAHU, HAWAII OR KAUAI, THAT PARENT MAY ATTEND THAT ISLAND222S SEPARATION/DIVORCE EDUCATION PROGRAM. FOR FURTHER INSTRUCTIONS CALL OAHU KIDS FIRST PROGRAM - 954-8280, HILO - 896-6465, KONA - 987-1046, OR KAUAI - 482-2350. DO NOT WRITE BELOW THIS LINE FOR STAFF USE ONLY ATTENDED (Y/N) NOTES VERIFICATION FATHER MOTHER CHILD 1 CHILD 2 CHILD 3 CHILD 4 CHILD 5 COMMENTS: In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the Family Court Administration Office at PHONE NO. 244-2700, FAX 244-2704 OR TTY 244-2889 at least ten (10) working days prior to your hearing or appointment date. For all Civil related matters, please call 244-2706 or visit the Service Center at 2145 Main Street, Room 141, Wailuku, HI 96793 Section 508 Certified American LegalNet, Inc. www.FormsWorkFlow.com