You may attach itemized bills and your other carriers EOBs that are ready at the time of submitting 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by completing all questions on the Youth Soccer Accident Claim Form. Ensure you provide accurate details about the claimant, including name, date of birth, and address.
3. In Section III, have a coach or local official who witnessed the accident sign for verification. This step is crucial for validating your claim.
4. Sign Section VI (Statement of Certification/Authorization to Release Information) to authorize K&K Insurance to access necessary medical records.
5. If applicable, submit your itemized bills to your other insurance carrier first. Attach any ready Explanation of Benefits (EOB) documents when submitting this claim form.
6. Send the completed Claim Form along with attached documents to your State Association for verification and signature.

Start using our platform today for free to streamline your claims process effortlessly!