Hawaii Matrimonial Action Information Form

In the case of a married couple wanting a divorce and would like to inform the court about it, the following form has to be completed and submitted.

Extracted Text for Proper Search

STATE OF HAWAII 
FAMILY COURT 
      CIRCUIT MATRIMONIAL ACTION 
INFORMATION CASE NUMBER 
      
FC-D NO. 
      PLAINTIFF 
      
 
 DEFENDANT 
      PREPARED BY:   PLAINTIFF   DEFENDANT   ATTORNEY FOR PLAINTIFF   ATTORNEY FOR DEFENDANT 
 NATURE OF CASE   DIVORCE       SEPARATION       ANNULMENT       OTHER DATE FILED ITEM WIFE HUSBAND FULL NAME  
       
      BIRTH OR MAIDEN NAME  
       
      ADDRESS 
STREET, APT. NO.  
       
      TOWN, STATE ZIP 
COUNTY  
       
      PHONE HOME 
      WORK 
      HOME 
      WORK 
      SOCIAL SECURITY NUMBER  
       
      DATE OF BIRTH  
       
      PLACE OF BIRTH (State or Country  
       
      RACE  
       
      HIGHEST GRADE COMPLETED  
       
      HAWAII RESIDENT SINCE  
       
      CIRCUIT RESIDENT SINCE  
       
      PRIMARY EMPLOYER 
(Name and Address) 
 
 
  
       
      JOB TITLE  
       
      WORK SCHEDULE  
       
      LENGTH OF SERVICE

WIFE  IS      IS NOT PREGNANT.  EXPECTED DELIVERY DATE:      THE UNDERSIGNED SOLEMNLY AND SINCERELY DECLARES, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF HIS/HER KNOWLEDGE, INFORMATION AND BELIEF DATE 
      SIGNATURE

Primary Secondary Welfare Primary Secondary Welfare  
GROSS MONTHLY INCOME 
(All Sources)                                     DATE OF THIS MARRIAGE DATE 
      COUNTY/STATE 
      DATE OF SEPARATION 
       NOT SEPARATED DATE 
      COUNTY/STATE 
       
MATRIMONIAL ACTION INFORMATION (Continued) CASE NUMBER 
      
FC-D NO. 
      TERMINATED BY  FROM 
MONTH/YEAR TO 
MONTH/YEAR DIVORCE ANNULMENT DEATH STATE                                                                          
WIFE’S PRIOR 
MARRIAGES 
                                                                                                             
HUSBAND’S PRIOR 
MARRIAGES 
                                    CHILDREN: ALL CHILDREN OF EITHER PARTY FROM YOUNGEST TO OLDEST LEGAL PARENT PRESENT 
CUSTODY CHILD’S FULL NAME M/F BIRTHDATE 
(HUSBAND, WIFE OR OTHER SCHOOL AND GRADE  
       
       
       
       
       
      INFORMATION REQUIRED FOR CUSTODY CHILDREN’S PRESENT ADDRESS: 
      PLACES WHERE AND PERSONS WITH WHOM THE CHILDREN HAVE LIVED WITHIN THE LAST FIVE YEARS AND DATES ADDRESS CARETAKERS FROM 
MONTH/YEAR TO 
MONTH/YEAR