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20222023 Student Injury and Sickness Insurance Plan Designed Especially for the Domestic Students attendingSUFFIELD ACADEMY Underwritten by: United States Fire Insurance CompanyPolicy # US1393565Connecticut
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How to fill out voluntary student injury and

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How to fill out voluntary student injury and

01
Obtain the voluntary student injury form from the school or educational institution.
02
Fill out the student's personal information, including name, date of birth, and contact information.
03
Provide details of the injury or incident that occurred, including the date, time, and location.
04
Describe the nature of the injury and any symptoms experienced by the student.
05
Sign and date the form, acknowledging that the information provided is accurate.

Who needs voluntary student injury and?

01
Any student who participates in school-related activities, such as sports, field trips, or extracurricular events, may need to fill out a voluntary student injury form.

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