Circuit Court of the Fifth Circuit
3970 Kaana Street, Suite 210
Lihue, HI 96766-1282

Cherie Gleave, All Rights Reserved
Plaintiff
v.

DEPARTMENT OF EDUCATION
HAYASHI, KEITH
ZINA, PAUL
SANDERL, JULIA
Defendants

Case No: 5CCV-22-0000026
(Original Proceeding)

PLAINTIFFS REQUEST FOR INDEMNIFY
AGAINST LOSS INCURRED
FOR USING REASONABLE CARE IN PERFORMANCE

NATURE OF SUIT: (101) Contract
(303) Medical Malpractice

Trial by Jury Request: Not at this time
Class Action: No
Request to by exempt from Arbitration: Would like to be exempt from Arbitration. (The form not being filed at this time.)
Request to be exempt from Mediation: No
Related Cases: Please refer to ‘Library of Violations’ in Document
Signature of Attorney: Not Applicable

Doreena Olivas Brun
Clerk, Circuit Court of the Fifth Circuit
State of Hawaii

(TGI1371266 5/13/22)