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INSURANCE FORMS AND INFORMATION

 

Member Clubs are covered by insurance policies as part of their member benefits.  Clubs receive secondary medical coverage for players and coaches as well as  liability coverage for property owners; Directors and Officers Insurance for not for profit club boards and liability insurance for the coaches.  More information on the insurance coverage can be found below.
 

Insurance - Youth Soccer

2018-19 Indiana Soccer   Insurance Summary  (Updated 9/2018)

2018-19 Indiana Soccer YOUTH or YOUTH COACH Medical Claim Form (PDF) - (Updated 9/2018)
Insurance Claim Instructions

Please mail completed claim form to: 
     Indiana Soccer
     19000 Grand Park Blvd   Suite J
     Westfield IN 46074

Insurance - Adult Soccer

USASA  Medical Coverages
USASA 17-18 Liability Insurance Summary
USASA Directors and Officers Liability
2017-18 D&O Insurance form - must be completed each year by each league
USASA Optional Coverages

Indiana Soccer ADULT  Medical Claim Form (PDF) (Updated 10/3/2018)
USASA Claim Filing Instructions

Please mail completed form to:
     Indiana Soccer 
     19000 Grand Park Blvd   Suite J
     Westfield IN 46074

Release of Liability form for all USASA participants  (Updated 10/3/2018)
Must be completed before play or added to the organization's online registration form  and signed digitally

 
En Español

INSTRUCCIONES PARA PRESENTACIÓN DE RECLAMACIONES DE PÓLIZAS DE ACCIDENTE DE USASA
USASA Cobertura Medica
USASA Cobertura de Responsabilidad

Insurance - Futsal

Indiana Futsal Medical Claim Form (PDF) - (Updated 9/2018)
Insurance Claim Instructions
Please mail completed claim form to: 

Indiana Soccer
19000 Grand Park Blvd   Suite J 
Westfield IN 46074

Insurance - Optional

We would all like to think that employees / volunteers would conduct their organization’s activities with honesty and integrity. Unfortunately, this is not always the case. According to a U.S. Department of Commerce study, one-third of all employees / volunteers admitted stealing from their employers in the previous year. 

Travel Assistance Flyer 

 
 
usyouthsoccer.org