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ATHLETIC ACCIDENT CLAIM FORM SECTION I (please print) Last Name of ClaimantFirst Rebirth DateProvincePostal Compiling Address×101, 7382 Winston Street Burnaby, BC V5A 2G9 Phone 6044219755 Ext. 2 Fax
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How to fill out athletic accident claim form

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How to fill out athletic accident claim form

01
Start by reading the instructions provided on the athletic accident claim form.
02
Write the date of the accident at the top of the form.
03
Provide your personal information such as name, address, phone number, and email.
04
Describe the accident in detail, including the location, time, and how it occurred.
05
If there were any witnesses, provide their names and contact information.
06
List any injuries or medical conditions resulting from the accident.
07
Attach any relevant medical documents, such as doctor's reports or hospital bills.
08
Include any other supporting documents, such as photographs of the accident scene.
09
Sign and date the form at the bottom to certify the information is accurate.
10
Make a copy of the completed form for your records and submit it to the appropriate authority.

Who needs athletic accident claim form?

01
Anyone who has been involved in an athletic accident and wishes to file a claim for compensation or insurance coverage needs the athletic accident claim form.
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The athletic accident claim form is a document used to report injuries sustained during athletic activities and can be used to file a claim for compensation or medical expenses.
Athletes, coaches, or anyone who has suffered an injury during an athletic event may be required to file an athletic accident claim form.
The athletic accident claim form typically requires the injured party to provide personal information, details of the injury, and any medical treatment received. It is important to fill out the form accurately and completely.
The purpose of the athletic accident claim form is to document and report injuries sustained during athletic activities in order to seek compensation or coverage for medical expenses.
The athletic accident claim form may require information such as the date and time of the injury, the nature of the injury, details of any medical treatment received, and contact information for the injured party.
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