HAR §19-122-302. Required information on application and supporting documents

(a) Each applicant for a driver's license or permit under this chapter shall provide the name, date of birth, gender, social security number or other information as stated in subsection (b)(3)(B), mailing address, and the principal residence address if different from the mailing address. (b) Supporting documents to establish the following must be presented at the time of application. All of the documents shall be originals or certified copies where an original is not expressly required. (1) Identity: To establish identity for issuance of a compliant federal REAL ID Act credential the applicant must present at least one of the source documents listed in subparagraphs (A) through (I). An applicant for a non-compliant federal REAL ID limited purpose license or permit may present at least one of the source documents listed in subparagraphs (J) through (Z) to establish identity: (A) Valid, unexpired U.S. passport or U.S. passport card; (B) Certified copy of a birth certificate filed with a state office of vital statistics or equivalent agency in the individual's state of birth; (C) Consular report of birth abroad issued by the U.S. Department of State, Form FS-240, DS-1350 or FS-545; (D) Valid, unexpired permanent resident card (Form I-551) issued by DHS or INS; (E) Unexpired employment authorization document issued by DHS, Form I-766 or Form I-688B; (F) Unexpired foreign passport with the following: a valid, unexpired U.S. 122-34 §19-122-302 visa affixed and an approved I-94 form documenting the applicant's most recent admittance into the United States or a DHS admittance stamp on the passport; (G) Certificate of naturalization issued by DHS, Form N-550 or Form N-570; (H) Certificate of citizenship, Form N-560 or Form N-561, issued by DHS; (I) Valid, unexpired U.S. Jurisdiction-issued compliant driver's license, identification card, or photo learner's permit (plastic vs paper); (J) Additional documentation may be required if the documentation provided is questionable. For instance, applicants that have legally changed their name to a name other than the name that appears on a source document (marriage, adoption, court order, or other mechanism permitted by state law or administrative rule) must in addition to the source document provide evidence of the name change through the presentation of documents issued by a court, governmental body or other entity as determined by the state. (K) A valid, unexpired consular identification document issued by a consulate from the applicant's country of citizenship or a valid, unexpired passport from the applicant's country of citizenship; (L) An original birth certificate or other proof of age, as designated by the examiner of drivers; (M) A current home utility bill, lease, or rental agreement, or deed or title to real property in the State, as designated by the examiner of drivers; (N) A DHS Form I-589, Application for Asylum and for Withholding of Removal; (O) An official school or college 122-35 3407 §19-122-302 transcript that includes that applicant's date of birth or a foreign school record that is sealed and includes a photograph of the applicant at the age the record was issued; (P) An official school or college identification card that includes the applicant's full name and a photograph of the applicant at the time the identification was issued; (Q) DHS Form I-20 or Form DS-2019; (R) A United States Customs and Immigration Services Deferred Action for Childhood Arrival Approval Letter; (S) A valid identification card for health benefits; (T) A valid identification card for an assistance or social services program; (U) A current voter registration card issued by the State; (V) A wage stub issued in the last six months; (W) An income tax return filed in the last two years; (X) A social security card; (Y) One of the following documents which, if in a language other than English, shall be accompanied by a certified translation or an affidavit of translation into English: (i) Marriage license or divorce certificate; (ii) Foreign federal electoral photo card issued on or after January 1, 1991; (iii) Foreign student identification card; or (iv) Foreign driver's license. (Z) Other proof of Hawaii residency as designated by the director. (2) Date of birth: To establish date of birth for issuance of a compliant federal REAL ID 122-36 §19-122-302 Act credential, the applicant must present at least one document included in paragraph (1) (A) through (I). In addition, U.S. Department of Defense DD Form 214 may be accepted for birth dates 1935 or earlier. (3) Social security number: (A) To establish the social security number, the applicant must present applicant's SSA account number card. The first and last names may exclude special characters, such as a hyphen, apostrophe or okina. (B) If the applicant is not entitled to receive a social security number, then the applicant must present to the examiner of drivers a letter of non- eligibility issued by the SSA. The examiner of drivers may issue a pseudo-number in lieu of the social security number, provided the applicant is not entitled to receive a social security number. For purposes of this section, a pseudo-unique number shall be computer generated and begin with the letters "NSS" followed by six numerical digits. NSS numbers issued shall be unique. (C) Wage and tax statement W-2 form from the previous year. (A printed electronically transmitted copy is acceptable.) (D) SSA-1099 form from the previous year; (E) Non-Social Security Administration 1099 form from the previous year; (F) A pay stub with the applicant's full name and complete social security number. (4) Principal residence: Present any two (homeless and inmates need only one document described in (Q) below) of the following documents that contain the applicant's name, allowing for social security anomalies 122-37 3407 §19-122-302 described in section 19-122-1(a)(2)(D), and the address of applicant's principal residence within the State of Hawaii: (A) A current Hawaii driver's license; (B) Current vehicle registration or title; (C) A current voter registration card or other mail addressed to the applicant from a government or medical entity that is not more than two months old; (D) Utility bill that is not more than two months old with applicant's name and address; (E) Checking or savings account statement not more than two months old. Two or more different account numbers from the same financial entity count only as one proof of residence address; (F) Payroll check or check stub issued by an employer within six months of the application date; (G) Current mortgage account or proof of home ownership; (H) Current residential rental or time share contract for six months or more; (I) United States income tax return, W-2 form or 1099 SSA benefits form from the previous year; (J) Hawaii income tax return or W-2 form filed in the last two years; (K) Receipt for personal property taxes paid to a county within the State of Hawaii within the last year; (L) For an individual claiming that the individual had no income to file a tax return and is receiving state welfare assistance, a document from the state department of human services dated not more than ninety days prior to the application for a driver's license card certifying that the individual is receiving state assistance; 122-38 §19-122-302 (M) Medical card issued by a Hawaii health insurance agency with principal residence address printed on it; (N) Documentation dated not more than ninety days prior to making application that the individual is receiving State of Hawaii public assistance; (O) Current property tax assessment bill or statement; (P) A stamped department of taxation form A-6, application for tax clearance that is not more than six months old; (Q) Homeless or inmate applicants may use the address of their current shelter agency or prison, or if not staying in a shelter, may use the general delivery of the post office nearest where they spend most of their time. For an applicant who qualifies as homeless pursuant to section 286-304(d), HRS, the examiner of drivers shall accept a signed sworn statement from a member of a victim services organization, an attorney, a member of the clergy, correctional institution staff, a medical or other health professional from whom the person has sought services, or a verification letter from a homeless service provider as documentary evidence of the person's address when the applicant is not able to provide a principal residence address. (R) Applicants documenting enrollment in a state or federal address confidentiality program which allows an applicant to obtain and use alternative addresses may use an alternative address on the card but must provide the applicant's permanent address for file purposes; (S) In areas where a number and street name 122-39 3407.