Hawaii Furlough Request to the Director of Corrections and Rehabilitation
Hawaii Furlough Request to the Director of Corrections and Rehabilitation
To: Director of Corrections and Rehabilitation or designated agent
Through (if applicable): [FACILITY OR DESIGNATED CONTACT]
From: [COMMITTED PERSON OR AUTHORIZED COUNSEL]
Date: [__/__/____]
Re: Request for furlough under HRS § 353-17
1. Committed Person
| Field | Response |
|---|---|
| Full legal name | [________________________________] |
| DCR identification number | [________________________________] |
| Correctional facility | [________________________________] |
| Current security classification | [________________________________] |
| Contact person or counsel | [________________________________] |
| Contact information | [________________________________] |
2. Request
I request that the Director or designated agent consider a furlough under HRS § 353-17. My current classification is [MINIMUM OR LOWER]. The requested furlough is for the following purpose (check each that applies):
- ☐ Employment: [________________________________]
- ☐ Social reorientation: [________________________________]
- ☐ Education: [________________________________]
- ☐ Training: [________________________________]
- ☐ Other purpose for the Director's consideration: [________________________________]
Requested dates and times: From [__/__/____] at [____] to [__/__/____] at [____].
Destination and address: [________________________________]
Proposed activities and schedule: [________________________________]
Transportation arrangements: [________________________________]
Proposed supervision or contact arrangements: [________________________________]
3. Reasons and Supporting Facts
Describe the purpose, expected benefit, relevant preparation, and any facts the Director should consider. Identify records or witnesses that support the request.
[____________________________________________________________]
[____________________________________________________________]
[____________________________________________________________]
Supporting documents attached:
- ☐ Employment offer or schedule
- ☐ School, training, or program confirmation
- ☐ Proposed itinerary and transportation plan
- ☐ Facility classification or program records
- ☐ Other: [________________________________]
4. Special Out-of-State Request, If Applicable
Complete this section only if seeking a special out-of-state furlough under HRS § 353-17(a). That provision concerns a person already otherwise furloughed and a death, critical illness, or injury involving an immediate family member, including a reciprocal beneficiary. The furlough must be at no cost to the State.
- ☐ I am already otherwise furloughed. Existing furlough information: [________________________________]
- ☐ Death ☐ Critical illness ☐ Critical injury
- Family member or reciprocal beneficiary and relationship: [________________________________]
- Requested destination state and location: [________________________________]
- Dates needed: [__/__/____] to [__/__/____]
- Non-State payment and travel arrangements: [________________________________]
- Supporting documentation: [________________________________]
5. Proposed Conditions and Contact Information
I will comply with any conditions the Director or designated agent imposes. The following information may assist in setting those conditions:
| Item | Detail |
|---|---|
| Address during furlough | [________________________________] |
| Telephone during furlough | [________________________________] |
| Emergency contact | [________________________________] |
| Transportation contact | [________________________________] |
| Employer or program contact, if relevant | [________________________________] |
I understand that HRS § 353-17(b) gives the Director or designated agent authority to enforce furlough conditions and to retake and reincarcerate a person on furlough.
6. Requested Decision
Please grant the requested furlough, grant it with conditions, or advise what additional information is needed for a decision. If the request is denied, please provide the decision and any available next step through the applicable DCR process.
Signature of committed person: [________________________________] Date: [__/__/____]
Signature of counsel or authorized representative, if any: [________________________________] Date: [__/__/____]
Name and role: [________________________________]
This request is addressed to the DCR Director or a designated agent. HRS § 353-17 does not authorize a circuit court to grant the requested furlough.
About this template
- Last updated
- October 23, 2026
- Citations checked
- October 20, 2026
- Jurisdiction
- Hawaii
- Category
- Criminal Law
Legal authority
- HRS § 353-17 (committed persons; furlough; employment)
Criminal law paperwork covers every stage of a criminal case, from the first appearance and bail motion through pretrial motions, plea agreements, sentencing, and appeals. Deadlines in criminal cases are short and often unforgiving, and constitutional rights can be waived just by missing a filing. Using the right motion at the right time can mean the difference between evidence getting suppressed, charges getting reduced, or a case getting dismissed entirely.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on October 20, 2026.
HRS § 353-17(a) (checked October 20, 2026): "The director or a designated agent may grant furloughs to committed persons with a minimum or lower security classification in any correctional facility of the department for the purpose of employment, social reorientation, education, or training, or any other valid purpose as determined by the director."
HRS § 353-17(a) (special out-of-state furlough) (checked October 20, 2026): "Special out-of-state furloughs may be granted to those already otherwise furloughed, at no cost to the State, when death or critical illness or injury to the committed person's immediate family including a reciprocal beneficiary, occurs."
HRS § 353-17(b) (checked October 20, 2026): "Full power to enforce the terms and conditions of furlough and to retake and reincarcerate a furloughed committed person is conferred upon the director or designated agent."
Draft your Hawaii Furlough Request to the Director of Corrections and Rehabilitation in the editor
Answer a few questions, let the AI editor draft each section from your answers, review it, and download Word and PDF. $99 one time, or $249 per month for every document and every Ezel app.