Hawaii Hepatitis A Illness Form
If you became ill with the Hepatitis A virus during the recent outbreak, please fill out the form below.
PLEASE NOTE THAT THE STATUTE OF LIMITATIONS MAY HAVE EXPIRED ON INDIVIDUAL CLAIMS AND COMPLETING THIS FORM DOES NOT MAKE YOU ELIGIBLE TO PURSUE A CLAIM. SOMEONE WILL BE IN TOUCH WITH YOU SHORTLY TO DISCUSS THE SPECIFICS OF YOUR CASE.
GIVEN THE TIME SENSITIVE NATURE OF THE CLAIMS, IF YOU HAVE NOT RECEIVED A RESPONSE WITHIN 24 HOURS, PLEASE CALL 808-537-6100 AND ASK FOR NORMAN CHENG OR FLO PAJARDO.