Carpool Matching Form

To be entered into our carpool database, please download the "pdf" version or fill out this form, print it, and mail it to:

Transportation Demand Management Office
Highways Division Traffic Branch
Hawaii Department of Transportation
601 Kamokila Boulevard, Room 602
Kapolei, HI 96707

Click here to download a "pdf" version of the Carpool Matching Form.

  To view and print the above "pdf files", you need a copy of the Adobe Acrobat Reader.  Download a free Reader by clicking on the "Get Acrobat" icon.  This will link you to the Adobe web site, where step-by-step instructions are available. 

 

---

Date

Please check as many as apply:
I want to add passengers to my car to and from work.
I want to be a passenger in a carpool.
I want to share the driving in a carpool.

Home and work addresses will be confidential.  Other information will be used for ridematching purposes only.  Please print carefully.  Be specific in listing your home and work address (is it a Street (St.), Avenue (Ave.), Road (Rd.), etc?)  Forms without a phone number cannot be processed.

First Name
Last Name

Home Information
Home Address
Apt. No.   Nearest Cross Street
Home City   Zip
Home Phone

Work Information
Employer
Work Address
Nearest Cross Street
Work City   Zip
Work Phone

Are your hours flexible by more than 20 minutes? yes no
Start Work (Hours/Minutes) a.m. p.m.
Leave Work (Hours/Minutes) a.m. p.m.

I normally get to work by:

Drive Alone	Carpool with family
Carpool with non-family	Drive and Bus
Drive and Carpool	TheBus
Express Coach	Motorcycle
Moped	Bicycle
Walk/Jog	Vanpool
Other

Additional Comments:

(Please Note:  Some of the above links will take you to sites which are in the process of being updated.  The easiest way to get back to this page is to click the "Back" button of your browser.)

 Hawaii State Home |  DOT Home | Public Affairs | Airports | Harbors | Highways