RESET FORM
Administrative Driver’s License Revocation Office (“ADLRO”)
Street,
Suite
Honolulu, Hawai’i 968
Telephone: (808) 534-6800 / Fax: (808) 534-6888
Toll Free Number: 1-866-826-5656
Website:
REQUEST FOR REMOVAL OF
MOTOR VEHICLE REGISTRATION STOPPER
If your motor vehicle registration was revoked by the Administrative Driver’s License
Revocation Office (ADLRO) for an arrest after December 31, 2010, you may request the
removal of any motor vehicle registration stopper imposed by the ADLRO for any vehicle
owned by or registered to you.
Name: _______________________________________ Date of Arrest: ___________________
Last Four Digits of Social Security Number: ________________
License plate number of each vehicle for which stopper removal is requested: _______________
______________________________________________________________________________
If your request is approved, present this form with the Certification Seal to your county motor
vehicle registration office when you apply for a new registration and plates for your vehicle(s).
NOTE: The ADLRO does not have the authority to remove a motor vehicle registration stopper
placed by the District Court or any other jurisdiction.
Signature: __________________________________________ Date: ____________________
FOR OFFICIAL ADLRO USE ONLY
Date Stopper(s) Removed: __________________
Approved/Removed: _______________
Certification Seal required for valid approval.
ADLRO Form 103 08/15 Rev