[Kauai Police Department] Civil Matter

Civil Matter Complainant

Notice – Civil Matter Complaint

This form is for documentation purposes only. No police action will be taken as a result of submitting this form.

A civil matter complaint involves disputes between individuals or parties that are non-criminal in nature and typically must be resolved through civil court proceedings or other legal channels. Examples may include disagreements over property, money owed, landlord/tenant issues, or custody exchanges where no crime has occurred.

By submitting this form, you are requesting that your concern be documented for informational purposes only.

Complainant Information

Identification Information

Driver's License / State ID *

Issuing State *

Phone Number

Do you have a US address?

Yes

No, I have an international address.

International Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code / Zip

Country

Other Party Information (if known)

Phone Number

Incident Details

Incident Date and approximate Time

Incident Circumstances

Upload File(s)

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KPD online report number

Declaration

By submitting this report, I affirm that the information provided is true and accurate to the best of my knowledge. I understand that knowingly filing a false police report is a criminal offense.

Pursuant to Hawai‘i Revised Statutes §710-1015, filing a false report with law enforcement is a misdemeanor crime.

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First Name

Last Name

Choose how to sign

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.