Haw. R. Ct. Report. Form 4

As amended through September 30, 2024

Form 4

Pursuant to Rule 14 of the Rules Governing Court Reporting in Hawai'i, I hereby make the following disclosure:

1. I or my agency was hired by ________________________________ for this deposition.

2. The complete financial arrangement between me (or my agency) and the person or organization named in paragraph 1 is:

ORAL DEPOSITIONS

Appearance fee per half day $________

Reporting fee (if no transcript) $________

Original + one copy of transcript $________ per page

One copy of transcript $________ per page

Two copies exhibits (one for court) $________ per page

Copy of exhibits $________ per page

Extra charge for medical/technical $________ per page

Expedited copy charge $________ per page

Daily copy charge $________ per page

Signature fee $________ per depo

Storage fee for original $________ per depo

Notice and Subpoena Preparation Service $________

WRITTEN INTERROGATORY DEPOSITIONS

Appearance fee $________

Reporting fee (if no transcript) $________

Original + one copy of transcript $________ per page

One copy of transcript $________ per page

Pickup fee $________

Signature fee $________

Storage fee for original $________ per depo

Two copies records (one for court) $________ per page

_____________________________________ $________

_____________________________________ $________

Sold copies records $________ per page

_____________________________________ $________

_____________________________________ $________

Notice and Subpoena Preparation Service $________

OTHER

(include value of goods or services provided to the reporter)

_____________________________________ $________

_____________________________________ $________

_____________________________________ $________

3. The fees and charges specified in Paragraph 2 (are/are not) the usual and customary charges made by me or my agency for like services to other persons. If not, specify why not:

__________________________________________________

__________________________________________________

4. If a financial or services discount for this or any future deposition will or might in any way be given to the person named in Paragraph 1, after this deposition is completed, state what that discount will or may be. (If none, so state.)

__________________________________________________

__________________________________________________

I certify the foregoing to be a complete, true and correct disclosure to the best of my knowledge and information.

Date ______________ Signed ___________________________________ CSR # __________________

Haw. R. Ct. Report. Form 4