Claim Supplement Form

If an AAHP-RRG Prospective Member answered YES to questions related to claim history/activity in the Underwriting Information section of the AAHP-RRG Professional Liability Questionnaire -or- if an AAHP-RRG Member (current active policy) experiences material changes to her/his reported claim history during the policy period, Members (prospective and current) are required to complete and send an AAHP-RRG Underwriting – Claim Supplement Form for each claim, suit, and judgement against her/him.

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

Once completed ….

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

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