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000298298 / JPS0000030460200STUDENT OR ATHLETE ACCIDENT CLAIM FORM Excess Coverage K12 ACCOUNTSCLAIMS DEPARTMENT 1712 Magnate Way, P.O. Box 2338 Fort Wayne, IN 468012338 pH: 8002372917 Fax: 3123819077
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How to fill out student or athlete accident

01
Start by gathering all relevant information about the student or athlete, including their full name, address, date of birth, and contact information.
02
Obtain details about the accident, such as the date, time, and location it occurred.
03
Document any injuries sustained by the student or athlete and provide a thorough description of each injury.
04
If there were any witnesses to the accident, gather their contact information and ask them for a statement regarding what they witnessed.
05
Take photographs of any visible injuries or damages related to the accident.
06
Include any medical treatment or first aid that was provided to the student or athlete.
07
Describe any additional factors that may have contributed to the accident, such as weather conditions or equipment failure.
08
Finally, submit the completed accident report to the appropriate authorities or school administration.

Who needs student or athlete accident?

01
Student or athlete accident reports are necessary for educational institutions and sports organizations.
02
Schools need these reports to track and monitor student safety, make improvements to their facilities or programs, and ensure proper medical care is provided if needed.
03
Sports organizations require these reports to assess liability, investigate incidents, and make decisions regarding athlete eligibility or future safety protocols.
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