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The following samples and forms contain suggested language that may be used as a guide and may be modified to suit individual needs.  They are for the convenience of parties, but are not intended as a substitute for legal advice or independent research or analysis of the law, and should not be used for improper purposes, including but not limited to, abuse of process.  The samples and forms do not supersede or supplement state law, administrative rule or regulation, or decisions and orders of LIRAB.

AB 1 – Request for Approval of Attorney’s Fee (rev. Jun 2020)

Certificate of Service

Designation of Representative

Initial Conference Statement

Live Witness Identification

Motion for Leave to Proceed on Appeal in Forma Pauperis, Declaration in Support and Certificate of Service

Notice of Appeal to the Intermediate Court of Appeals

Notice of Appeal to the Labor and Industrial Relations Appeals Board 

Notice of Hearing on Motion

Notice of Non-Hearing Motion (14 days)

Notice of Termination of Counsel

Notice of Withdrawal of Counsel

Notice of Withdrawal and Substitution of Counsel

Request for Settlement Conference

Stipulation to Dismiss a Party

Stipulation to Waive Discovery and Trial

Unnamed Witness Identification

Withdrawal of Appeal

Labor and Industrial Relations Appeals Board

Lea Faka-Tonga (Tongan)

‘Okú ke fie maʻu tokoni ʻi ha lea fakafonua ʻe taha? Temau kumi haʻo taha fakatonulea taʻetotongi. Telefoni ki he (808-586-8600) ke fakahā mai ʻa e lea fakafonua ʻokú ke lea aí.

You have the right to an interpreter at no cost to you.

Labor and Industrial Relations Appeals Board

VISAYAN: CEBUANO

Gakinahanglan ka ba ug tabang sa imong pinulongan? Amo kang mahatagan ug libre nga maghuhubad. Tawag sa (808-586-8600) aron magpahibalo kung unsa ang imong sinulti-han.

You have the right to an interpreter at no cost to you.

Labor and Industrial Relations Appeals Board

TIẾNG VIỆT: VIETNAMESE

Bạn có cần giúp đỡ bằng ngôn ngữ khác không ? Chúng tôi se yêu cầu một người thông dịch viên miễn phí cho bạn. Gọi (808-586-8600) nói cho chúng tôi biết bạn dùng ngôn ngữ nào.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

ภาษาไทย: THAI

คุณต้องการความช่วยเหลือทางด้านภาษาหรือไม่ ทางเราจะจัดหาล่ามฟรีให้คุณ โทรที่เบอร์ (808-586-8600) และบอกเราว่าคุณพูดภาษาอะไร

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

TAGALOG: TAGALOG

Kailangan ba ninyo ng tulong sa ibang lengguwahe? Ikukuha namin kayo ng libreng tagasalin. Tumawag sa (808-586-8600) para sabihin kung anong lengguwahe ang nais ninyong gamitin.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

ESPAÑOL: SPANISH

¿Necesita ayuda en otro idioma? Nosotros le ayudaremos a conseguir un intérprete gratuito. Llame al (808-586-8600) y diganos que idioma habla.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

GAGANA SAMOA: SAMOAN

E te mana’o mia se fesosoani i se isi gagana? Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Vili mai i le numera lea (808-586-8600) pea e mana’o mia se fesosoani mo se faaliliu upu.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

KAJIN MAJÔL: MARSHALLESE

Kwoj aikuij ke jiban kin juon bar kajin? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Kirtok (808-586-8600) im kwalok non kim kajin ta eo kwo melele im kenono kake.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

한국어: KOREAN

다른언어로 도움이 필요하십니까? 저희가 무료로 통역을 제공합니다. (808-586-8600) 로 전화해서 사용하는 언어를 알려주십시요

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

日本語 (JAPANESE)

貴方は、他の言語に、助けを必要としていますか ? 私たちは、貴方のために、無料で 通訳を用意で きます。電話番号の (808-586-8600) に、電話して、私たちに貴方の話されている言語を申し出てください。

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

ILOKANO: ILOCANO

Masapulyo kadi ti tulong iti sabali a pagsasao? Ikkandakayo iti libre nga paraipatarus. Awaganyo ti (808-586-8600) tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

ʻŌLELO HAWAIʻI: HAWAIIAN

Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Makemake la maua i ki`i `oe mea unuhi manuahi. E kelepona (808-586-8600) `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

KAPASEN CHUUK: CHUUKESE

En mi niit alilis lon pwal eu kapas? Sipwe angei emon chon chiaku ngonuk ese kamo. Kokori (808-586-8600) omw kopwe ureni kich meni kapas ka ani.

You have the right to an interpreter
at no cost to you.

Labor and Industrial Relations Appeals Board

中文 – CHINESE Mandarin

您需要其它語言嗎?如有需要, 請致電 (808-586-8600), 我們會提供免費翻譯服 (Traditional)

您需要其它语言吗?如有需要,请致电 (808-586-8600), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.

Labor and Industrial Relations Appeals Board

中文 – CHINESE: Cantonese

您需要其它語言嗎?如有需要, 請致電 (808-586-8600), 我們會提供免費翻譯服務 (Traditional)

您需要其它语言吗?如有需要,请致电 (808-586-8600), 我们会提供免费翻译服务 (Simplified)

You have the right to an interpreter at no cost to you.