Information Required to Request a Certificate of Insurance
To request a certificate of insurance for your shoot, the following information is needed
at least a week in advance of your shoot.
E-mail this form to: acm.media.center@hawaii.edu
Your Name:
Name of your Production:
Dates of the Production:
Owner of the Property:
Address of the Property:
Example
Your Name: John Doe
Production: The Last Trail
Dates: October 5-7, 2010
Owner: Jerry Shimoto
Address: 32458 Wildern Ave.
Aiea, Hi 94877