Texas accident medical insurance 2025

1. Click ‘Get Form’ to open the Texas Accident Medical Insurance form in the editor.
2. Begin by completing Section I, which requires the claimant's name, date of birth, and home address. Ensure all fields are filled accurately.
3. In Section II, provide statistical information about the accident, including the type of claimant and a description of the injury. Be specific about how the injury occurred.
4. Section III must be signed by a coach or local official who witnessed the accident. This verification is crucial for processing your claim.
5. Complete Section IV with signatures from both the Local Member Association Insurance Commissioner and an authorized state official to validate your claim.
6. Finally, review all sections for completeness and accuracy before submitting your packet via email or mail as instructed.

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