Claim Supplement Form

If an AAHP-RRG insured or prospective insured (collectively referred to as Insured) answered YES to questions related to claim history/activity in the Underwriting Information section of the AAHP-RRG Coverage Questionnaire, or if any material changes occurred to the Insured’s claim history/activity during her/his policy period, Insured is required to complete and send an AAHP-RRG Underwriting – Claim Supplement Form for each claim, suit, and judgement against her/him to InsuranceServices@SIPSAAHP.org

Claim Supplement Forms found HERE are in a fillable PDF version.

Once completed ….

• Prospective Insureds should attach the document(s) with her/his AAHP-RRG Coverage Questionnaire submission.

• Current Insureds reporting material changes to claim history/activity during her/his policy period should complete and submit the form below.