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<br /> <br /> DEPARTMENT OF ENVIRONMENTAL MANAGEMENT <br /> SOLID WASTE DIVISION- VEHICLE DISPOSAL PROGRAM <br /> COUNTY OF HAWAII-108 RAILROAD AVENUE, HILO, HI 96720 <br /> _ VEHICLE DISPOSAL PROGRAM COORDINATOR (808) 961-8552 <br /> SOLID WASTE Dmsm (808) 961.8339 <br /> cohdem@mhawaii.him <br /> <br /> DERELICT VEHICLE DISPOSAL AMNESTY PROGRAM APPLICATION <br /> PLEASE TYPE OR PRIM LEGIBLY WHILE. FILL OUT AS MUCH INFORMATION AS POSSIBLE. <br /> APPLICATIONS WITH INCOMPLETE INFORMATION OR ILLEGIBLE HANDWRITING MAY BE REJECTED. <br /> <br /> <br /> Date of Application: <br /> <br /> CONTACT INFORMATION <br /> <br /> Property Owner. <br /> Mailing Address: <br /> (City) (State) - (Zi)) <br /> Email: <br /> Local Contact: <br /> Local Telephone: (home) (work) (other) <br /> Email: <br /> <br /> DERELICT VEHICLE INFORMATION <br /> <br /> VEHICLE #1: <br /> Name of Registered Owner. <br /> Mailing Address: <br /> (City) (State) (Zip) <br /> Telephone: (home) (work) (other) <br /> Vehicle ID Number (VIN): License Plate: <br /> Vehicle Make: Model: <br /> Model Year: Color. <br /> VEHICLE #2 <br /> Name of Registered Owner: <br /> Mailing Address: <br /> (City) (State) (Zip) <br /> Telephone: (home) (work) (other) <br /> Vehicle ID Number (VIN): License Plate: <br /> Vehicle Make: Model: <br /> Model Year: Color: <br /> Please provide any other information pertinent to the safe and efficient removal of the vehicle(s): <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Hawaii County is an Eaual Onnanunity Provides and Foo lnyer <br />