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Hawaii 329 Request to Void Registration Card

Hawaii's Medical Cannabis Registry uses this one-page notice (Form CBD-105) to void a patient's 329 registration card. It is filed when the patient has died, no longer has a debilitating medical condition, or when the benefits of medical cannabis would no longer likely outweigh the health risks. Hawaii law requires qualifying patients to report changes within ten working days.

Who completes it

The patient, or a parent, guardian or legal custodian, may sign it; if the patient has died, the physician must submit it, or a family member may with documentation such as a death certificate. The physician section asks for printed name, signature and date under penalty of perjury.

Submitting and payment

How to submit it
Send it to the Medical Cannabis Registry by U.S. Postal Mail, or by email from the address linked to your certifications.
Who pays
DOH charges no fee to void a card.

Good to know

  • Mark exactly one reason: patient deceased, no longer has a debilitating condition, or the benefits no longer likely outweigh the health risks.
  • Enter the 329 registration card number and the patient's name exactly as it appears on the card; DOH returns incomplete forms.
  • The current form is CBD-105, revised 9.26.18, listed on DOH's provider forms page as 329 Request to VOID By Physician.

Get the official form

Download the current version from the source each time; forms change without notice.

329 Request to Void Patient's Registration Card

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Who signs the Hawaii 329 Request to Void when a patient dies?

The physician must submit the form when the patient is deceased, signing under penalty of perjury. A family member may also submit it with appropriate documentation, such as a death certificate. Otherwise the registered patient, or the parent, guardian or legal custodian, signs.

Is there a fee to void a Hawaii 329 card?

No. The form states that no fee is required. It is sent to the Medical Cannabis Registry by U.S. mail or by email from the address linked to the provider's certifications, and incomplete forms are returned to the sender.