Administrative Driver’s License Revocation Office Forms

Please read FAQs for additional guidance on forms.
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 (08/15)

2a.

Employer’s Sworn Statement in Support of Respondent’s Application for Employee Driver’s Permit (09/16)
3. Application for Ignition Interlock Permit (01/16)

4.

Application for Amended Employee Driver’s Permit   (01/16)

4a.

Employer’s Sworn Statement in Support of Respondent’s Application for Amended Employee Driver’s Permit (09/16)
5. Application for Amended Ignition Interlock Permit   (01/16)
6.
Reserved

 

 
7. Ignition Interlock Instruction Permit Application (LIFETIME license revocations and other special circumstances) (07/15) 
8. Notice of Representation and Authorization for Release of Information   (07/15) 
9. Request for Administrative Hearing (08/15)  
10. (01/17) 
11.

Request for Copies

(02/16)  
12.  – Schedule of Administrative Fees  (04/03)
13. Request to Reconsider Administrative Revocation of License   (07/15) 
14. Request for Removal of Motor Vehicle Registration Stopper (08/15)  
15. Request for Subpoenas to be Issued   (07/15) 
16. Request for Waiver of Administrative Hearing Fee and Declaration in Support (07/15)  
17. Subpoena (07/15)  
18.

 

(07/15) 
19. (01/17)
20. (01/17)

For your convenience, you can download the forms, fill them out on your computer and print them. To view these forms, you need Adobe Acrobat Reader, which is free.

If you are having problems opening the writable PDF forms on this website, you may need to make sure you have the latest version of your preferred browser on your computer:

If you have the latest version of your preferred browser and you are still having problems opening the writable PDF forms on this website, then your browser may need certain properly configured extensions or plug-ins to open PDF files. If you need web browser configuration support, please use the help function of your browser, or consult with an IT professional for assistance.

For assistance with IE 11 plugins: http://windows.microsoft.com/en-us/internet-explorer/manage-add-ons#ie=ie-11

For assistance with Firefox plugins: https://support.mozilla.org/en-US/kb/view-pdf-files-firefox-without-downloading-them#w_using-a-pdf-reader-plugin

For assistance with Chrome plugins: https://support.google.com/chrome/answer/142064?hl=en

Return to ADLRO Home


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