 Youth Insurance Carrier Pullen Insurance Services 6300 Ridglea Place, Suite 614 Fort Worth, Texas 76116 (817) 738-6100 |
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NHSA Insurance COI (Certificate of Insurance) for use of field space
In order to receive a COI for your club or team you need to contact the NHSA State Office by e-mail
listing the name, address, town or city, that you need it for. nhadmin@soccernh.org
NHSA Insurance Forms, Outlines, and Reports
Injury Claims Procedure
The correct procedure for processing an injury claim is as follows:
Fill out Injury Report form and mail to the NHSA State Office with in one week after the injury occurs
Please make sure the Coach has signed the Injury Report Form before mailing it into the state office
Contact the NHSA State Office and confirm that the injury report form has been received
Keep accurate records for all bills pertaining to this injury
Contact the State Office and get the Insurance Claim form (see link above)
This must be filled out and mailed into the state office with copies of all the bills from your primary insurance carrier
- Contact State Office to confirm that your claim has been sent to the Insurance carrier