REQUIREMENTS FOR LICENSE - MECHANIC
Access this form via website at: cca.hawaii.gov/pvl
WHO is eligible for a license?
1) Those who took and passed the ASE EXAM and have met the experience requirement. NOTE: You must apply
for a license.
2) If you are already currently licensed in Hawaii as a mechanic, and took and passed the ASE exam and met the
experience requirement, you are eligible to add license categories to your license. (Example: A mechanic licensed in
Hawaii already holds license categories "(A2) Automatic Transmission" and "(A5) Brakes." The mechanic has recently
taken and passed the ASE test for "(A8) Engine Performance." Filing of the application (Form MVR-04) is needed
to ADD "(A8) Engine Performance" to the mechanic's license.)
CONTACT ASE:
3) VISIT www.ase.com or call 1-877-346-9327 to apply for the ASE exam.
WHEN to apply for a LICENSE:
MVR-00 1016R
(CONTINUED ON PAGE 2)
HOW to apply for a LICENSE:
1) COMPLETE THE APPLICATION FORM. (FORM MVR-04).
Use the on-line fillable application or print legibly. Provide all requested information, documents and fees.
Failure to provide all the requested information will delay the processing of your application.
Apply for a license only after you receive your ASE Certificate. You are required to submit a copy of your ASE Certificate
with your application.
SOCIAL SECURITY NUMBER
Your Social Security Number is used to verify your identity for licensing purposes and for compliance with the below
laws. For a license to be issued you must provide your Social Security Number or your application will be deemed
deficient and will not be processed further.
The following laws require that you furnish your Social Security Number to our agency:
FEDERAL LAWS:
42 U.S.C.A. §666(a)(13) requires the Social Security Number of any applicant for a professional license or
occupational license be recorded on the application for license; and
If you are a licensed health care practitioner, 45 C.F.R., Part 61, Subpart B, §61.7 requires the Social Security
Number as part of the mandatory reporting we must do to the Healthcare Integrity and Protection Data Bank (HIPDB),
of any final adverse licensing action against a licensed health care practitioner.
HAWAII REVISED STATUTES ("HRS"):
§576D-13(j), HRS requires the Social Security Number of any applicant for a professional license or occupational
license be recorded on the application for license; and
§436B-10(4), HRS which states that an applicant for license shall provide the applicant's Social Security Number if
the licensing authority is authorized by federal law to require the disclosure (and by the federal cites shown above,
we are authorized to require the Social Security Number).
Instructions for "YES" answers to questions (5) thru (7) of the Application for License (MVR-04)
A. The following documentation must be submitted with the license application. Applications for license will not be considered
without this material.
1) Questions 5 and 6 refer to complaints, charges of unlicensed activity, or pending disciplinary actions for any profession,
occupation, or license, both motor vehicle and those other than motor vehicle. If your answer is "yes" to one or more
of these questions, read paragraph "B" below, AND you must submit the following:
i. A detailed statement signed by you explaining the underlying circumstances; and
ii. Copies of any documents from the agency, including final orders, petitions, complaints, finding of facts and
conclusions of law, proof of payment of any fines, and any other relevant documents; and
iii. A resume of any employment, business activities, and education since the date of the action.
iv. If your driver's license was subject to suspension, revocation, a Traffic Abstract must be submitted. Contact
Traffic Court for this.
2) If your application indicates a criminal conviction, read paragraph "B" below, and you must submit the following:
i. A detailed statement signed by you explaining the underlying circumstances leading to the conviction and
detailing all activities since the conviction, including employment and business involvements. Include job
title, period of employment, employer's name, description of duties, training attended, and educational courses
attended;
ii. A copy of all related court documents (i.e. indictments, judgements, guilty pleas, verdict, and terms of
sentence); if applicable, proof of payment of fines and/or proof of fulfillment of conditions of each sentence; and
iii. If applicable, a copy of the terms of probation and/or parole and a statement from your probation or parole
officer as to your compliance with the court orders (terms and conditions imposed including any court
documentation evidencing completion or discharge;
(CONTINUED ON PAGE 3)
-2-
iv. A current criminal history record check in your name from the Hawaii Criminal Justice Data Center (HCJDC)
dated within six months. Contact them at Ph: (808) 587-3100 or visit their website at: www.ecrim.ehawaii.gov
to request a "Criminal History Record Check".
v. If your criminal conviction occurred in a state or states other than Hawaii, a current criminal history record
check will be required from each state AND Hawaii. Contact the local authority or board in each state for their
forms, instructions and fees on obtaining criminal history record checks.
B. If you answered "Yes" to questions 5), 6), and/or 7), your application will be reviewed at a Motor Vehicle Repair Industry Board
meeting if you have provided all applicable information and documents as listed above. The Board will not review
incomplete applications. If you wish to present oral testimony at the meeting, submit a written request with your application.
ATTACH THE APPROPRIATE FEE:2)
Will be licensed as a new mechanic in Hawaii from July 1, odd-numbered year
to June 30, even-numbered year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $228
(Application - $10** + License - $56 + Compliance Resolution
Fund - $134 + second year of two-year license period - $28)
Will be licensed as a new mechanic in Hawaii from July 1, even-numbered year
to June 30, odd-numbered year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $133*
(Application - $10** + License - $56 + Compliance Resolution Fund - $67)
Hold a current mechanic license and adding a classification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10**
(Note: Mechanics who hold a "forfeited" Hawaii license are required to "reapply" for a
license before a test category can be added.
Make check payable to : COMMERCE & CONSUMER AFFAIRS. (check must be in U.S. dollars and be from a U.S.
financial institution.)
* All licensees, regardless of issuance date, are subject to renewal on or before June 30 of each odd-numbered year.
If you are eligible for license near the end of the second year of the two-year license period (within 3 months), you
may elect to delay issuance of your license until July 1, odd-numbered year, the date of the new license period
provided you do not engage in mechanic activity until the license is issued.
** Application fee is not refundable.
NOTE: One of the numerous legal requirements that you must meet in order for your new license to be issued is the payment
of fees as set forth in this application. You may be sent a license certificate before the payment you sent us for your required
fees is honored by your bank. If your payment is dishonored, you will have failed to pay the required licensing fee and your
license will not be valid, and you may not do business under that license. Also, a $25.00 service charge shall be assessed
for payments that are dishonored for any reason.
If for any reason you are denied the license you are applying for, you may be entitled to a hearing as provided by Title 16,
Chapter 201, Hawaii Administrative Rules, and/or Chapter 91, Hawaii Revised Statutes. Your written request for a hearing
must be directed to the agency that denied your application, and must be made within 60 days of notification that your
application for a license has been denied.
3) ATTACH A COPY OF A CURRENT ASE CERTIFICATE.
ADDING A ASE CLASSIFICATION
(CONTINUED ON PAGE 4)
-3-
If you hold a current mechanic's license, you may add additional classifications to your license. NOTE: There is a
$10.00 fee for each application to add one classification OR more classifications. So, if you add 1 classification OR
6 classifications on the same application, pay a flat fee of $10.00.
MAIL THE APPLICATION, FEE AND COPY OF ASE CERTIFICATE TO:4)
Motor Vehicle Repair Industry Board
DCCA, PVL Licensing Branch
P. O. Box 3469
Honolulu, HI 96801
cca.hawaii.gov/pvl
Deliver to office location at:
335 Merchant Street, Room 301
Honolulu, HI 96813
Phone: (808) 586-3000
OR
RELEASE OF
INFORMATION
If an agency or individual is assisting you with the licensure process, we will not be able to release any
information to them unless you provide us with authorization. If you wish to do so, please complete
the portion on Release of Information to Third Party, sign and date it.
ABANDONMENT
OF APPLICATION
Pursuant to HRS §436B-9 your application shall be considered abandoned and shall be destroyed if you
fail to provide evidence of continued efforts to complete the licensing process for two consecutive
years. The failure to provide evidence of continued efforts includes but is not limited to: (1) failure to
submit any required information and documents requested by the licensing authority within two
consecutive years from the last date the documents and information were requested, or (2) failure to
complete any additional requirements for licensure that remain after approval of your application, such
as attempting to complete an exam requirement, within two consecutive years from the date your
application was approved, or (3) failure to provide the licensing authority with any written
communication during two consecutive years indicating that you are attempting to complete the
licensing process. If an application is deemed abandoned the applicant shall be required to reapply for
licensure and comply with the licensing requirements in effect at the time of the reapplication.
MAINTAINING A LICENSE
LICENSE
RENEWAL
All licenses, regardless of issuance date, are subject to renewal by the license expiration date of June 30,
each ODD-NUMBERED year. Completion of the renewal application, payment of fees, and compliance
with the existing renewal requirements is mandatory. A renewal application form and instructions are
sent about six weeks before the license expiration date. If you do not receive one, contact the Board's
office. Keep the Board informed of your current mailing address.
All ASE certified mechanics must submit a copy of their current ASE certificate(s) at the time of
renewal.
If you do not have a current ASE certification - your license will be forfeited and you will be considered
unlicensed. If you have at least 1 class renewed - your license will be renewed with that 1 class and all
other classes will be placed on "inactive" status. When you pass your ASE exam, you must submit a
letter requesting re-activation of class(es), a copy of the current ASE certificate and $10 for the
re-issuance of your pocket card.
LAWS AND
RULES
Keep informed of the laws and rules governing your vocation. A copy of the Board's laws, Chapter 437B,
Hawaii Revised Statutes, and rules, Chapter 87, Hawaii Administrative Rules, may be obtained by
submitting a written request to: Motor Vehicle Repair Industry Board Commerce & Consumer Affairs,
P.O. Box 3469, Honolulu, HI 96801. Chapter 436B, Hawaii Revised Statutes, the Professional and Vocational
Licensing Act should be read in conjunction with the above statutes.
The laws and rules are also posted on our website at: cca.hawaii.gov/pvl. Click on "Motor Vehicle
Repair".
ADDRESS
CHANGE
Address changes must be reported to the Board within thirty (30) days of the change. Report all address
changes in writing.
This material can be made available for individuals with special needs. Please call the Licensing Branch Manager at (808) 586-3000 to submit your request.
-4-
Print Form
APPLICATION FOR LICENSE - MECHANIC
Access this form via website at: cca.hawaii.gov/pvl
Read the Requirements sheet before completing this form.
Legal Name (First, Middle) (Last)
Residence Address (Include Apt. No., City, State & Zip Code)
Other Names Used
Mailing Address (ONLY if different from Residence)
Social Security Number Phone No. (Days)
APPROVED:
Initials/Date
License No.
MC -
Date Licensed
CLASS(ES):
Additional Class
REQUEST TO ADD A CLASSIFICATION. Provide your License No.:
Check the classification(s) you are applying for, or adding, and attach a current ASE certificate indicating the expiration date of
each classification.
A1 Auto/Light Truck: Engine Repair T1 Medium/Heavy Truck: Gasoline Engines
A2 Auto/Light Truck: Automatic Transmission/Transaxle
A3 Auto/Light Truck: Manual Drive Train & Axles
A4 Auto/Light Truck: Suspension & Steering
A5 Auto/Light Truck: Brakes
A6 Auto/Light Truck: Electrical/Electronic Systems
A7 Auto/Light Truck: Heating & Air-Conditioning
A8 Auto/Light Truck: Engine Performance
T2 Medium/Heavy Truck: Diesel Engines
T3 Medium/Heavy Truck: Drive Train
T4 Medium/Heavy Truck: Brakes
T5 Medium/Heavy Truck: Suspension & Steering
T6 Medium/Heavy Truck: Electronic/Electronic Systems
T7 Medium/Heavy Truck: Heating, Ventilation & A/C
MVR-04 1016R
(CONTINUED ON PAGE 2)
Appl . . . . . . . . . . . . . . . . 395 . . . . . . $10
Lic . . . . . . . . . . . . . . . . . . 398 . . . . . . $56
CRF . . . . . . . . . . . . . . . . . 396 . . . . . . $67/$134
1/2 Ren . . . . . . . . . . . . . 390 . . . . . . $28
Service Charge . . . . . . BCF . . . . . . $25
EXPERIENCE IN THE TRADE
(If more space is needed, use separate sheets.)
Dates (mo/yr)
From To
Hours A Week Description of Duties & Position Title Name, Address & Phone No. of Employer
FOR OFFICE USE ONLY
Print Applicant's Name: Date:
Check answers. If response to question Nos. 5, 6 and/or 7 is "yes", refer to instructions for additional documents that must be submitted
with this application.
1) Are you at least 18 years of age? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
2) Are you a U.S. citizen, a U.S. national, or an alien authorized to work in the U.S.? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
3) Do you now hold or have you ever held a motor vehicle mechanic license in another jurisdiction? . . . . . . . . . .
YES NO
4) Have you ever held a license in Hawaii:
Lic. No. Exp. Date
. . . . .
YES NO
5) Has any license ever been suspended, revoked or otherwise subject to disciplinary action? . . . . . . . . . . . . . . . . .
YES NO
6) Are there any disciplinary actions pending against you? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
7) Have you ever been convicted of a crime in any jurisdiction that has not been annulled or expunged?. . . . . .
YES NO
AFFIDAVIT OF APPLICANT:
I hereby certify that the answers and statements made on this application and in the documents attached are true and
correct. I understand that any misrepresentation is grounds for refusal or subsequent revocation of license and is a
misdemeanor (Section 710-1017, Sections 436B-19, and 437B-12, HRS). I further certify that I have read, understand, and
agree to comply with the laws and rules of the Motor Vehicle Repair Industry Board.
Signature of Applicant Date
-2-
This material can be made available for individuals with special needs. Please call the Licensing Branch Manager at (808) 586-3000 to submit your request.
Release of Information to Third Party:
To assist me in the licensing process, I authorize DCCA's staff to release any and all information regarding my application
(including but not limited to, application status) to the following third party:
Print Name of Individual who is assisting you:
Name of Organization:
Signature of Applicant Date
If "Yes", provide jurisdiction(s):
Print Form
