FAMILY COURT
FIRST CIRCUIT
STATE OF HAWAI‘I
EX PARTE MOTION AND
AFFIDAVIT FOR CUSTODY OF
CHILD(REN) PENDENTE LITE; ORDER
CASE NUMBER
FC-A NO.
In the Matter of Adoption of
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
A [ ]MALE [ ]FEMALE CHILD,
Born on:
by
[ ]the legal spouse of [ ]and
[ ]the child(ren)'s legal parent
[ ]husband and wife
[ ]an unmarried person
Petitioner(s).
[ ]ATTORNEY FOR PETITIONER(S)
[ ]PETITIONER(S) PRO SE
Name
Address
City, State, Zip Code
Telephone Number
Comes now Petitioner(s) above-named and moves this Honorable Court for an order awarding
the temporary custody of the above-identified child(ren) pendente lite to Petitioner(s).
This motion is brought pursuant to Hawai‘i Revised Statutes Section 578-3, Rule 7(b) of the
Hawai‘i Family Court Rules and Rule 7(a) of the Rules of the Circuit Court.
Petitioner(s) is/are requesting for a temporary custody order for the following reasons:
The above-identified child(ren) was/were placed with the petitioner(s) on .
The child(ren)’s mother has signed a consent for the child to be adop