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Administrative Driver’s License Revocation Office Forms

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Completed and signed forms may be mailed, faxed, or delivered in person to the ADLRO, or they may be e-mailed to the ADLRO at: respondents.ADLRO@courts.hawaii.gov.

Form # Title of Document Form Date
(Month/Yr.)
1. Administrative Revocation Process (07/15)

2.

Application for Employee Driver’s Permit (10/23)

2a.

Employer’s Sworn Statement in Support of Respondent’s Application for Employee Driver’s Permit (10/23)
3. Application for Ignition Interlock Permit (10/23)

4.

Application for Amended Employee Driver’s Permit   (10/23)

4a.

Employer’s Sworn Statement in Support of Respondent’s Application for Amended Employee Driver’s Permit (10/23)
5. Application for Amended Ignition Interlock Permit (10/23)
6. Ignition Interlock Instruction Permit Application (LIFETIME license revocations and other special circumstances) (07/15) 
7. Notice of Representation and Authorization for Release of Information   (07/15) 
8. Request for Administrative Hearing (08/15)  
9. (01/17) 
10.

Request for Copies

(03/21)  
11.  – Schedule of Administrative Fees  (04/03)
12. Request to Reconsider Administrative Revocation of License   (07/15) 
13. Request for Removal of Motor Vehicle Registration Stopper (08/15)  
14. Request for Subpoenas to be Issued   (07/15) 
14a. Subpoena (07/15)
15. Request for Waiver of Administrative Hearing Fee and Declaration in Support (07/15)  
16.

 

(07/15) 
17. (01/17)
18. (01/17)

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ADLRO LINKS

Contact Us

ADLRO
1001 Bishop Street
American Savings Bank Tower
Fifth Fl., Suite 500
Honolulu, HI 96813

 

Office Hours:
Monday through Friday
7:45 a.m. to 4:30 p.m.
Closed on weekends and State holidays

Telephone:
808-534-6800
Fax: (808) 534-6888
Toll free: 1-866-826-5656