| Insurance Forms & 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 Forms - Youth Soccer |
Indiana Soccer has recently (Sept.1, 2021) changed insurance companies to continue to provide our members with the best coverage at the most reasonable rates. More information from the new carrier (Players Health) will be added to this website as the documents become available. To learn more about the youth soccer general liability benefits and accident medical expense benefits & accidental death and dismemberment benefits, please click on the links below:
If you need to file a claim for an injury that happened BEFORE September 1, 2021, please use the links and forms below.
Please mail a completed claim form to:
Indiana Soccer Association
19000 Grand Park Blvd, Suite J
Westfield, IN 46074
If you need to file a claim for an injury that happened AFTER to September 1, 2021, please use the links and forms below.
The new process is an online form. This saves time and provides you a better link to the claim process. Simply click the link below to begin filing your claim:
| Insurance Forms - Adult Soccer |
To learn more about adult soccer insurance forms including medical coverages, liability insurance summary, directors & officers liability, directors & officers insurance forms, optical coverages, adult medical claim form, please click on the links below:
Mailing Address:
Please mail a completed claim form to:
Indiana Soccer Association
19000 Grand Park Blvd, Suite J
Westfield, IN 46074
Release of Liability form for all USASA participants, (Updated 2/7/2020)
Must be completed before play or added to the organization's online registration form and signed digitally.
| Certificates of Insurance (COI's) for Youth Clubs |
Beginning September 1, 2021, Clubs may now request additonal COI's using this online request form. CLICK HERE
| Insurance Forms - 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.