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This document serves as an application for student accident insurance coverage for schools in the DeKalb County School District. It outlines various coverage plans, premium details, enrollment procedures, and requirements for both group and voluntary coverage for students from pre-kindergarten through 12th grade. The form also includes provisions for sports-related injuries and the responsibilities of school officials regarding insurance claims.
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How to fill out student accident insurance application

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How to fill out student accident insurance application

01
Obtain the student accident insurance application form from your school or insurance provider.
02
Fill in the student’s personal information, including name, date of birth, and school details.
03
Include details of the parent or guardian, such as name, contact information, and relation to the student.
04
Describe the nature of the accident or injury, including date, time, and location.
05
Attach any relevant medical documentation or reports indicating the nature of the injury.
06
Review the completed application to ensure all information is accurate and complete.
07
Sign and date the application form.
08
Submit the application to the designated office or insurance provider as instructed.

Who needs student accident insurance application?

01
Students who participate in school activities, sports, or those who are at risk of accidents during school hours or events.
02
Parents or guardians seeking additional coverage for their children against unexpected injuries while participating in school-related activities.
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A student accident insurance application is a form that students or their guardians fill out to obtain insurance coverage for injuries sustained while participating in school-related activities.
Typically, students participating in school sports or activities, or those whose schools require insurance coverage, are required to file a student accident insurance application.
To fill out a student accident insurance application, provide personal information about the student, details about the school, and any additional coverage options as required by the insurance provider.
The purpose of the student accident insurance application is to secure financial protection against medical expenses stemming from accidents that occur during school activities.
The application must report the student's personal information, details of the accident or school activity, and any existing medical conditions or previous injuries.
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