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OREGON YOUTH SOCCER ASSOCIATION
ACCIDENT MEDICAL CLAIM FORM
GUIDELINES FOR SUBMITTING A YOUTH SOCCER ACCIDENT CLAIM FORM
1. Complete ALL questions on the Youth Soccer Accident Claim Form.2. Have the
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01
Start by reading the instructions on the receipt thoroughly.
02
Locate the fields on the receipt that need to be filled out, such as the date, amount, and description.
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Write the current date in the designated field. Make sure to use the correct format as specified in the instructions.
04
Enter the amount received in the appropriate field. This should match the amount mentioned on the receipt.
05
Provide a brief description of what the payment or transaction was for. Be concise but clear.
06
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07
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Upon receipt of the refers to the act of receiving something, such as a document or package.
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The purpose of upon receipt of the is to acknowledge that an item has been received and to document any relevant information.
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