Hawaii Department of Labor & Industrial Relations Forms

This form is used for individuals in Hawaii to complete a questionnaire about their health care coverage.

This form is used for notifying the state of Hawaii about any changes in your employment or income status.

This form is used for applying for self-insurance authorization in the state of Hawaii.

This form is used for requesting information or photo copies in the state of Hawaii.

This form is used for applying for a hearing in Hawaii. It is related to a specific legal process in the state.

This form is used for submitting a response to an application for a hearing in the state of Hawaii. It is used to provide a written statement or answer to the original application.

This document is used for requesting approval of attorney's fee in Hawaii.

This form is used for TDI self-insurer's plan certification and agreement in Hawaii. It is a document that certifies and outlines the agreement for self-insurance plans in the state.

This form is used for applying for self-insurance authorization in the state of Hawaii.

This form is used for reviewing applications for prepaid health care plans in Hawaii. It is for individuals who are applying for or already enrolled in a prepaid health care plan and need to submit their application for review.

This document is used for reimbursement type plans in Hawaii.

This Form is used for applying for a Certificate of Compliance with Section 3-122-112 in Hawaii.

This form is used for filing a complaint in the state of Hawaii.

This type of document is a complaint form used in Hawaii.

This form is used for filing a complaint in the state of Hawaii.

This form is used for filing complaints in Hawaii.

This form is used for submitting a weekly report of low earnings in the state of Hawaii.

This form is used for keeping a record of the contacts made for work in Hawaii. It helps document and track all the communication and meetings related to a specific project or job.

This form is used for reporting an employee's wages for fifty-two weeks in the state of Hawaii.

This form is used by employers in Hawaii to request premium supplementation for their employees.

This form is used for notifying the state of Hawaii about acquisitions or transfers. It is required for certain business transactions.

This Form is used for applying as a self-financing non-profit organization in Hawaii.

This Form is used for requesting an increase in hourly rate in the state of Hawaii.

This form is used for verifying partial unemployment status in Hawaii.

This Form is used to verify registration with a referring union in Hawaii.

This form is used for reporting a carrier's case in Hawaii.

This form is used for stipulating to dismiss a party in a court case and obtaining approval from the court for the dismissal. This is specific to Hawaii.

This document is used for conducting a review of participant files in Hawaii. It provides a worksheet template for organizing and documenting the review process.

This document provides guidelines for monitoring equal opportunity and non-discrimination in Hawaii. It helps ensure fairness and equality in various aspects of employment and services.

This Form is used for filing a petition related to the financial report of an employee organization in the state of Hawaii.

This form is used for filing a petition in Hawaii to request clarification or amendment of an appropriate bargaining unit.

This Form is used for filing a petition for decertification in the state of Hawaii.

This form is used for applying for the issuance of a subpoena or subpoena duces tecum in Hawaii.