Fillable STATE OF HAWAII Request for Hawaii Driver History (Hawaii)

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STATE OF HAWAII Request for Hawaii Driver History (Hawaii)

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Request for Hawaii Driver History Record
STATE OF HAWAII
SEE INSTRUCTIONS ON HOW TO REQUEST THE RECORD OF YOUR DRIVER
Name of Current or Prospective Motor Carrier (or other Employer):
To the specific attention of:
Business Telephone
(nnn) nnn-nnnn
( )
Mailing Address (Number and Street)
City
State
Zip Code
Part I — DRIVER HISTORY REQUEST
This request authorizes the Traffic Violations Bureaus of the District Courts to perform a one-time search of the driver's license information and history of
convictions, accidents, and withdrawals pertaining to the driver identified in this part, provided that the driver signs the consent below. The search is
limited to information that is maintained by the Examiner of Drivers, including licensing actions received from other states.
Type or Print Clearly (Complete all items. Requests that cannot be read will not be processed.)
Hawaii Driver’s License Number (HDL) Social Security Number
H __
__ __ __ __ __ __ __ OR if no HDL: __ __ __ - __ __ - __ __ __ __
(mm/dd/yyyy)
Date of Birth ___ ___ / ___ ___ / ___ ___ ___ ___
Driver's Full Legal Name: First Name
Middle Name
Last Name
Daytime Telephone (nnn) nnn-nnnn
( )
Part II - DRIVER'S CONSENT TO SEARCH RECORDS
I hereby authorize the Traffic Violations Bureau of the District Courts to perform a one-time search of my driver history record. I understand that
the search will result in a printed report that will indicate: (1) No record was found matching my identification, or (2) the driver history record. I
further understand that if a current or prospective motor carrier has requested my driver history record, the printed report will only be sent to that
motor carrier. If a current or prospective motor carrier has requested my driver history record, I understand that I also have the right to obtain my
own copy of the driver history record from the Traffic Violations Bureau of the District Courts, either in person or upon written request and
payment of applicable fees.
Driver's Signature ______________________________________________________________________ Date __________________________________
(Notary required only if the Driver History Record Request is not
made in person by the current or prospective operator.)
For Official Use Only
NOTARIZATION
State of Commission _________________________
Subscribed and sworn before me this _______ day of
of _______________, 20______.
(Seal) Signature of Notary Public
Print Name:_________________
My commission expires:
___________________________
Date Received
Date Sent
Type of identification
:
Valid Photo Driver’s License
Valid Military ID
Valid Photo State-issued ID
Valid Passport
Clerk (Print Name)
Signature
State of Hawaii See Reverse Side for Additional Explanation DOTH 2067 rev. 01/29/2019
Clear Form
Print Form
Request for Hawaii Driver History Record
http://hidot.hawaii.gov/highways/library/motor-vehicle-safety-office/request-a-copy-of-your-hawaii-driver-history-record/
Phone: 808.692.7656 or 7658 Email: DriverRecords.HWYV@Hawaii.Gov
Who May Obtain a Hawaii Driver History Record?
• Any person may ask to know whether there is a record on him or her, and may obtain a copy of the record if
one exists. The driver history record may be requested in-person at a location provided below or by mail.
• A motor carrier or prospective motor carrier (or other Employer) may request a driver's driver history record,
provided the request is made by the driver in person or notarized. The mailed results of the driver history record
check will be sent only to the current or prospective motor carrier. If no motor carrier is named on the form or
it is changed, the request will not be processed. "Motor carrier" means any person who owns a motor vehicle
used in, or engages in the transportation of persons or property by motor vehicle on the public highways in the
furtherance of any commercial, industrial, or educational enterprise.
A Driver History Record Shows
• The name, the date of birth, and the mailing address of the driver.
• The driver’s license class, endorsements, and restrictions.
• The current status and the expiration date of the driver’s license.
• Crashes, moving traffic violations, failures to appear, and suspensions or revocations of the driver’s license,
including those from other states.
• Information reported within the past three-years from the date of the inquiry and suspensions and revocation
over five-years old that are still in effect.
How to Request a Driver History Record
To request a copy of your own record (in-person). Complete Part I, show your identification, and pay the $9.00 fee.
Acceptable identification documents include a valid driver's license, state identification card, passport, or military
identification card.
To request the record of your current or prospective driver. Complete this form, including the notarization, and pay the
$9.00 fee. Attach a self-addressed stamped envelope for return of the requested information.
To order a driver history record by mail. Your request MUST BE NOTARIZED to certify identity. Mail completed form
with cashier's check or money order made payable to: District Court. Attach a self-addressed stamped legal-sized
envelope (#10) for return of the requested information. Mailed requests will be processed and returned within 5-10 days.
Location of Driver History Records
Records on individuals can be made available to those individuals, within a reasonable time after request, for personal
inspection and copying during regular working hours at 8:00 a.m. to 4:00 p.m., each day except Saturdays, Sundays,
and State legal holidays. The address for your request by mail or for making requests in person is as follows:
Rev. 01/29/2019
C & C OF HONOLULU
Honolulu District Court
Traffic Violations Bureau
1111 Alakea Street, 2
nd
Floor
Honolulu, HI 96813-2897
Abner Paki Hale, Kaneohe
Courthouse
45-939 Pookela Street
Kaneohe, HI 96744-5725
Ewa/Pearl City District Court
870 Fourth Street
Pearl City, HI 96782-3312
Kapolei Court Complex
4675 Kapolei Parkway
Kapolei HI 96707-3272
Wahiawa/Waialua District
Court 1034 Kilani Avenue
Wahiawa, HI 96786-2274
HAWAII COUNTY
Hawaii District Court
777 Kilauea Avenue
Hilo, HI 96720
Kona District Court
Keakealani Building
79-1020 Haukapila Street
Kealakekua, HI 96750
South Kohala District Court
67-5187 Kamamalu Street
Kamuela, HI 96743
MAUI COUNTY
Lahaina/Hana District Court
1870 Honoapi'ilani Highway
Lahaina, HI 96761-1856
Lanai District Court
730 Lana'i Avenue, Suite 131
Lanai City, HI 96763
Mailing address:
1870 Honoapi'ilani Highway
Lahaina, HI 96761-1856
Molokai District Court
55 Makaena Street
Kaunakakai, HI 96748
Mailing address:
P.O Box 284
Kaunakakai, HI 96748-0284
Wailuku District Court
Traffic Violations Bureau
2145 Main Street, Room 137
Wailuku, HI 96793-1679
KAUAI COUNTY
Lihue District Court
3970 Kaana Street
Lihue, HI 96766
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STATE OF HAWAII Request for Hawaii Driver History (Hawaii)

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Completed 20 August 2020

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