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Signature of State Association / National League verification officer:Date:CLAIM PROCEDURE: U.S.A.S.A. SPECIAL RISK ACCIDENT CLAIM FORM1. 2. 3. 4. Please print or type. Participant (or legal guardian
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USASA special risk accident refers to accidents or incidents that occur during USASA activities that involve risk or potential harm to participants.
Anyone organizing or managing USASA activities is required to file a report for special risk accidents.
Fill out the USASA special risk accident report form with details of the accident, including date, time, location, individuals involved, and description of what happened.
The purpose of USASA special risk accident reporting is to document and investigate incidents to prevent future accidents and ensure the safety of participants.
Details such as date, time, location, individuals involved, description of the accident/incident, and any actions taken should be reported on the USASA special risk accident form.
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