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20202021 K12 ACCIDENT ONLY CLAIM FORMPreferred Provider Network:
www.imsppo.com
(choose Student Athletic)Email, Fax or Mail Completed Form To:
Administrative Concepts, Inc.
994 Old Eagle School Road,
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How to fill out 2020-2021 k-12 accident only
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01
Obtain the 2020-2021 k-12 accident only form.
02
Fill out the personal information section, including your name, address, and contact details.
03
Provide information about the accident, such as the date and time it occurred, the location, and a detailed description of what happened.
04
Include any medical treatment received as a result of the accident, including doctors' visits, medical tests, and medications prescribed.
05
If applicable, provide information about witnesses to the accident.
06
Sign and date the form to certify the information provided is true and accurate.
07
Submit the completed form to the appropriate party, such as your school or insurance company.
Who needs 2020-2021 k-12 accident only?
01
Anyone who is enrolled in a K-12 school for the 2020-2021 academic year and requires coverage for accidents that may occur during that period.
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What is k-12 accident only claim?
A K-12 accident only claim is a type of insurance claim that covers medical expenses resulting from an accident involving a student in a K-12 school setting.
Who is required to file k-12 accident only claim?
The claim is typically filed by a parent or guardian of the student who suffered an injury due to an accident while at school or during a school-sponsored activity.
How to fill out k-12 accident only claim?
To fill out the claim, gather all necessary documentation such as the student's information, accident details, medical records, and any relevant school incident reports, then complete the claim form provided by the insurance company.
What is the purpose of k-12 accident only claim?
The purpose of the K-12 accident only claim is to provide financial support for medical expenses that arise from accidents that occur within the school environment.
What information must be reported on k-12 accident only claim?
The claim must report the student's personal information, details of the accident, any injuries sustained, medical treatment received, and related expenses.
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