Download the Hawaii Receivables Management (HRM) application form here. You will need the freely available Acrobat Reader installed on your computer to open this file. If you do not have Acrobat, you can get it here before downloading this application form.
Application Form (129KB)
Download, then print this form. Fill it out and fax it back to HRM at (808) 254-4208. You will be contacted by one of our helpful professionals.