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Official Proof of Insurance Forms
Official Inspection Stations - Proof of Insurance Form

The State of Hawaii - Department of Transportation requires proof that an applicant has, in effect, a liability insurance policy issued by an insurance company authorized to do business in the State (Hawaii Revised Statutes, Section 286-27). The acceptable form is the "Official Inspection Station Proof of Insurance Form".

  • HIB affiliates subscribing to the General Liability line can obtain this form at no extra cost.

    To request a form, email HIB at: customerservice@hibinc.com

  • Non-affiliated insurance companies and insurance agents can obtain the form by written request and payment of $11.52.

    Send your request and payment to:

    Direct Business Connections Inc.
    ATTN: Customer Service
    715 South King Street, Suite 320
    Honolulu, HI 96813

Completed forms should be sent to the respective county office.
* Please note that this form is NOT the form SR-21.

    Oahu

    Maui & Molokai

C & C of Honolulu
Motor Vehicle Control Branch
PO Box 30350
Honolulu, HI 96820-0350
Phone: (808) 733-2542

OR

MVC-PMVI
1112 Kapahulu Ave.
Honolulu, HI 96816

County of Maui
Motor Vehicle & Licensing Division
70 E. Kaahumanu Ave., Ste. A-17
Kahului, HI 96732
Phone: (808) 270-7363
Fax: (808) 270-7858

    Kauai

    Hawaii

County of Kauai
Dept of Finance – PMVI Unit
4444 Rice Street, Ste A480
Lihue, HI 96766
Phone: (808) 241-4242
Fax: (808) 241-6533

County of Hawaii
Vehicle Registration & Licensing Division
349 Kapiolani Street
Hilo, HI 96720-3998
Phone: (808) 961-2222


Please feel free to contact us for more information on this or any other product or service.


715 South King St, Suite 320, Honolulu, Hawaii 96813
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