Name of Person Submitting Confidential Information

Address

Telephone Number

(TITLE OF COURT OR OFFICE IN WHICH CASE IS FILED)

STATE OF HAWAI I

__________________________________,

Plaintiff,

v.

__________________________________,

Defendant.

)
)
)
)
)
)
)
)

)

)	CASE NUMBER: ____________________

INFORMATION DESIGNATED CONFIDENTIAL PURSUANT TO RULE 9 OF THE HAWAI I COURT RECORDS RULES

CONFIDENTIAL INFORMATION

LIST ALL CONFIDENTIAL INFORMATION:

Title of Document Containing Referenced Information

(e.g. Defendant's Motion for Extension of Time)
Document File Date	Reference in Document	Type of Information	Complete Information	Authority for Confidentiality
Title of Document Containing Referenced Information

(e.g. Defendant's Motion for Summary Judgment)
Document File Date	Reference in Document	Type of Information	Complete Information	Authority for Confidentiality

HCRR Form 2 (09/2012)