ACORD 63HI Instructions

ACORD 63 HI (9/98) – Hawaii Application Supplement

Use this form as a part of any ACORD application or claim form to comply with a Hawaii statute requiring that the fraud warning statement in ACORD 63 HI must be provided to all applicants for insurance and all claimants for loss or benefits under an insurance policy.

Note that ACORD 63 HI must be attached to applications or claim forms “in a prominent location.”

The statement in ACORD 63 HI will also be included in all ACORD loss notices.