§ Form 29 Notice of Appeal From Decision or Order of Governmental Official or Body to the Circuit Court Under Rule 72(a)

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Form 29. Notice of Appeal From Decision or Order of Governmental Official or Body to the Circuit Court Under
Rule 72(a)

IN THE CIRCUIT COURT OF THE
FIRST CIRCUIT
STATE OF HAWAI‘I

    A.B., Appellant                                                             )

                                                   v.                                  )                          Civil No. _______

    (Name of governmental official                                        )                          NOTICE OF APPEAL
    or body whose order or decision                                     )                          TO CIRCUIT COURT
    is appealed from)                                                          )

                                                                       Appellee   )

NOTICE OF APPEAL TO CIRCUIT COURT

    Notice is hereby given that A.B., appellant above- named, pursuant to H.R.S. § ______________, herebyappeals to the Circuit Court of the First Circuit fromthe [order] [decision] of (here name governmentalofficial or body whose order or decision is appealedfrom) entered on _____________________________________________________________________________.

(Specify grounds of appeal, if required by statute.)

    Dated: Honolulu, Hawai‘i, ___________________________________________________

Signed: ________________________________________________________________________________
Attorney for A.B.,Appellant

Address: ________________________________________________________________________________

Note

    Use either the material in the first set of brackets or that in the second as the case requires.