Departments for Hawaii Applications & Supplementals : AMC/Fairmont

Departments for Hawaii

Submit a Claim
"Please fill out the appropriate form listed below and email it to newclaims@amcins.com

NOTE: Please use Adobe Acrobat Reader 8.0 or greater for completing and submitting the following claim forms. Visit www.adobe.com to download the latest version."

Commercial Lines Excess & Surplus Lines / Binding Authority

Organized by category of coverage (Garage, Property, etc.), you will be able to easily sort through the forms we have provided to locate the one you need.

Employment Practices Liability

Find both the short and long form applications. All applications in this section can be filled out online, but you will need the latest version of Adobe Acrobat which can be downloaded by clicking the link below the applications.

Chartis
Torus - EPLI
AMC EPLI Online Tutorial / Webinar (click here to watch)

PhysDam/Cargo/OccAcc

Wine Related Business

Winery Package Program

Acrobat Reader is required to view the above documents, download it here if you do not already have it installed.

Caution If you experience problems with some of our PDF's please upgrade to the latest version of Adobe Acrobat Reader. Alternately, you may right-click the PDF link and choose 'save link/target as' to your desktop, once the file is saved to your desktop double-click it to open the form.