Usa Field Hockey Certificate Of Insurance Form

Helmet face mask waiver.

Usa field hockey certificate of insurance form. Usa field hockey insurance coverage. Do not delay getting a claim form or submitting to k k insurance. Please allow 2 3 days for the certificate to be processed. You must fill it out.

Usa field hockey 719 434 3901 telephone attn. To open the request form in microsoft word click on ms word file to the right of your district. 2020 21 ushl tier i affiliated player list form. General liability insurance 719 632 0979 facsimile.

One olympic plaza. Club certificate of insurance request. 2020 21 affiliated player policy. A certificate may be used if a third party such as a field owner school or sponsor requests proof.

Fill out the form then save and rename it using save as with the rink name. Box 2338 fort wayne in 46801 2338. Call your local program registrar to request a claim form or if you do not know who to call locally please call usa hockey at 800 566 3288 x123. Official s game report form.

Menu usa field hockey. Usa hockey annual guide. Certificate request forms should be submitted to. The next business day.

2019 20 policy year. For member clubs from usa field hockey upon request. If you have no other insurance then your usah plan will be the primary plan with a 3 500 deductible. Usa hockey c o k k insurance group claims dept 1712 magnavox way p o.

Request for certificate of insurance. Click the links below or the videos on the right for more information on usa field hockey s policies or download any necessary forms. Do not take this form to your medical provider for completion. You must return this form to.

Submit the completed certificate of insurance request form via facsimile or email to. Submit the completed certificate of insurance request form via facsimile or email to. Usa hockey domestic forms. 2020 21 affiliated player consent form.

Usa field hockey 719 434 3901 telephone. Goalkeeper face mask waiver.