Accident claim form - Clemson University 2026

1. Click ‘Get Form’ to open the accident claim form in the editor.
2. Begin by filling in the claimant's information. Include your last name, first name, middle initial, phone number, birth date, social security number, and student ID number. Ensure all details are accurate.
3. Provide your current and home addresses. Make sure to include the complete street address, city, state, and zip code.
4. In the 'Complete this section for accident claim' area, describe the nature of your injury thoroughly. Include details about how and where the accident occurred along with the date and time.
5. If applicable, indicate whether you were treated at Health Services for this condition by selecting 'Yes' or 'No'.
6. Complete any additional sections as required for sickness claims if relevant. Provide details about symptoms and previous treatments if necessary.
7. Finally, ensure that a policyholder completes their section regarding supervision during the incident before submitting your claim.

Start using our platform today to fill out your accident claim form easily and efficiently!