HI · rules
Haw. R. Civ. P. Form 29-A
Statement of the Case to Accompany the Notice of Appeal to the Circuit Court.
IN THE CIRCUIT COURT OF THE (insert the judicial circuit no.) CIRCUIT
STATE OF HAWAIʻI
(Your Name), ) Civil No.
)
Appellant, ) Agency Docket/Case No.
)
v. )
) STATEMENT OF THE CASE
(Name of governmental official or agency, )
whose order or decision is being appealed); )
(Name(s) of any other party to the proceeding )
before the official or agency), )
)
Appellee(s). )
)
STATEMENT OF THE CASE
(State the facts)
(State the reasons you are filing the appeal)
(State the result you would like to achieve)
DATED: (Name of the City you are in), (State), (Date document is signed).
(Your signature)
(Print or Type your name here)
Provenance
- Source
- www.courts.state.hi.us
- Retrieved
- 2026-10-02
- Edition
- supplied-hi-03-2026-07-01
- Content hash
6cf50b7fc81a0a203395be671fed276f9092351009023eea3065f6931c020af7
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