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Page 1Intercollegiate Athletics Participation Physical Evaluation Form (201819) HEALTH HISTORY (Note: This part of the form is to be filled out prior to seeing the physician. Return entire PPE form
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Obtain the claim form from the designated authority or organization.
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Provide personal details such as name, address, contact information, and date of birth.
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Specify the sport and athletic event for which the claim is being made.
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Attach any relevant documents such as medical reports, injury details, or tournament schedules.
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Fill out the section related to the insurance coverage, including policy numbers and details.
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Provide a detailed account of the incident or injury that occurred during the athletic event.
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Student athletes who have experienced injuries or incidents during athletic events may need a student athlete claim form.
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Schools, colleges, universities, and sports organizations that handle insurance claims for student athletes also require this form.
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Student athletes claim to financial compensation or benefits they believe they are entitled to.
Student athletes are required to file their own claims.
Student athletes can fill out their claim form with their personal and financial information.
The purpose of student athletes claim to is to request compensation or benefits for their athletic endeavors.
Student athletes must report their personal information, financial details related to their athletics, and any supporting documents.
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