Form 4140 PDF Details

The reasons for withdrawal are Disability, Employment, Family Court Order, Alternative Education and Homeschooling.

Disability: for a child physically or mentally unable to attend school, deafness and blindness excepted; attach the certificate of a duly licensed physician.

Employment: after age 15; attach verification of the minor's employment status.

Family court order: attach the court order.

Employer: the student's employer shall notify the school within three days if employment is terminated.

Home school: another notification of intent must be submitted when the child is transferring from one local public school to another.

QuestionAnswer
Form NameForm 4140
Form Length5 pages
Fillable?Yes
Fillable fields39
Avg. time to fill out7 min
EditionRev 8/23
Issuing agencyState of Hawaii Department of Education
Matches the agency's fileYes, checked October 3, 2026
Other names4140, DOE Form 4140, Form 4140 Hawaii, Exceptions to Compulsory Education
Official sourceForm 4140 (Rev 8/23), State of Hawaii Department of Education