Haw. R. Civ. P. Form 2-B

ADDITIONAL CLAIMS INFORMATION SHEET

I. Filing Party/Attorney II. Civil No.

III. Case Name

IV. Title of Pleading

V. Does the above pleading join any additional party not previously named? _______ Yes _______ No

If “yes,” please list each additional party below:

Name(s) Party Designation

1.

2.

3.

4.

5.

¨ Additional pages(s) attached.

V. Does the above pleading exclude any party previously named? _______ Yes _______ No

If “yes,” please list each party who has been excluded:

Name(s) Party Designation

1.

2.

3.

4.

5.

¨ Additional pages(s) attached.

VII. Signature of Filing Party/Attorney Date

1C-P-009

INSTRUCTIONS FOR COMPLETING

THE ADDITIONAL CLAIMS INFORMATION SHEET

The additional claims information sheet and the information it contains neither replace nor supplement the filings, the service pleadings, or other documents as required by law, except as provided by the rules of court.

This form is required for the purpose of ascertaining the status of parties to the lawsuit.

Consequently, an additional claims information sheet is required for each affirmative pleading filed subsequent to the initial complaint.

The attorney/party filing such affirmative pleading shall complete the form as follows:

I. Filing Party/Attorney

Indicate name, attorney license number, attorney firm name (if applicable), address and telephone number.

II. Civil No.

Indicate the civil number assigned to the case.

III. Case Name

Indicate a brief case title (full caption not necessary). Use of “et al.” designation is acceptable.

IV. Title of Pleading

Indicate the exact title of the pleading being filed.

V. Joined Parties and Party Designation

If the space provided is insufficient, attach additional page(s) and check the box so indicating.

Examples of “party designation” are as follows: Additional plaintiff; additional defendant; additional crossclaim-defendant; additional counterclaimant; additional counterclaim-defendant; plaintiff intervenor; defendant intervenor; third-party defendant, etc.

VI. Excluded Parties and Party Designation

Same as Section V above.

VII. Signature of Filing Party/Attorney

Date and sign the Additional Claims Information Sheet.