Acord Forms are available for printing by selecting below:

Report all other claims to Risk Replacement Services, Inc. to the attention of the following at Fax no. (808) 535-1941.

Report all Professional Lines Claims/EPLI to Siew Kett Tan.

Report all Transportation Claims to Christine Tugaoen.
(Bell & Clements (Motor Truck Cargo, On Hook), Caroline Casualty, National Casualty)

Report all Homeowners & Dwelling Fire/Personal Lines (including American Reliable, Scottsdale Ins.) Claims to Laura Lei Kekauoha.

Loss Runs & Inspections, please call or email Eleanor Kaneshiro.

For all claims status inquiries, please call or e-mail Russell Tokushige

The forms are in Adobe Acrobat format.  If you do not have Adobe Acrobat installed on your system, you will need to install it.  You can obtain the Adobe Acrobat Reader by clicking on the icon below.

Form Title	Type
Property Loss Notice
Automobile Loss Notice
General Liability Notice of Occurrence/Claim
Auto Accident Information Form
Exchange of Information Form
Witness Card