Get the free BSAClaimFormdoc - airventuring

To be completed by BSA Leader Council Name: PIEDMONT COUNCIL #420 BOY SCOUTS OF AMERICA Address: 1. PLEASE FULLY COMPLETE THIS FORM 2. ATTACH ITEMIZED BILLS WITH DOCTORS DIAGNOSIS 3. MAIL TO HEALTH

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5. Describe the nature of the claim or incident in detail, including any damages, injuries, or losses.
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