Kidney Cars Donation Form

1. Donor Information

2. Vehicle Information

3. Location & Pickup

4. Review & Submit

Donor Information

Please provide your contact information. Fields marked with * are required.

Title

First name *

Last name *

Email address *

Phone number *

Alternate phone

Street address *

Address line 2

City *

State *

ZIP code *

Island *

Best time to call

How did you hear about Kidney Cars?

Additional comments

Your information is secure and will only be used in connection with your vehicle donation. We respect your privacy.

Vehicle Information

Tell us about the vehicle you would like to donate. Have the VIN handy? Enter it first and we’ll fill in the details for you.

VIN Enter your 17-character VIN and we’ll fill in the vehicle details below automatically.

Vehicle type *

Year *

Make *

Model *

Mileage

Condition *

Certificate of title *

Name(s) on title *

Keys available? *

Current registration? *

Current safety check? *

License plate

Vehicle notes

Location & Pickup

Currently, Kidney Cars accepts donations from Oahu, Maui, and the Big Island.

Preferred pickup date

Pickup access

Vehicle location is the same as donor address

Can the vehicle be moved?

Preferred contact method

Pickup notes

Free tow service is typically arranged after vehicle approval. On some islands or locations, drop-off or special coordination may be required.

Review & Submit

Please review your information below, then submit your request. The Kidney Cars team will follow up to discuss condition review, title transfer, and next steps.

I confirm the information provided is accurate and authorize National Kidney Foundation of Hawaii or its representatives to contact me about this vehicle donation.

Step 1 of 4

Donate Your Vehicle Drive Kidney Health Forward.

Donor Information

Vehicle Information

Location & Pickup

Review & Submit

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